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1356088728
ANGELLA MARIA LEWIS
PEORIA, IL
NPI
1356088728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.014333)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
ANGELLA MARIA LEWIS LCPC
6511 N RANDWICK RD
PEORIA, IL 61615-2532
Phone number: 309-635-5655
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Mailing Address
ANGELLA MARIA LEWIS LCPC
6511 N RANDWICK RD
PEORIA, IL 61615-2532
Phone number: 309-635-5655
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