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1356860282
LUCAS M TILLETT
LIBERTYVILLE, IL
NPI
1356860282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.012634)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
LUCAS M TILLETT LPC
1580 S MILWAUKEE AVE STE 307
LIBERTYVILLE, IL 60048-3773
Phone number: 847-946-3428
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Mailing Address
LUCAS M TILLETT LPC
7767 MILAN WAY
GURNEE, IL 60031-5177
Phone number: 1847-946-3428
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