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1366646168
FRANK E FORTHMAN
VIENNA, IL
NPI
1366646168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- FRANK E FORTHMAN MDIV, QMHP
408 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-2611
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Mailing Address
-- FRANK E FORTHMAN MDIV, QMHP
1204 METROPOLIS ST
METROPOLIS, IL 62960-1308
Phone number: 618-524-5736
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