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1396405353
EDWIN VIGLIA
BOURBONNAIS, IL
NPI
1396405353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.017366)
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
Mr. EDWIN VIGLIA LPC
755 ALMAR PKWY
BOURBONNAIS, IL 60914-2392
Phone number: 815-216-8029
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Mailing Address
Mr. EDWIN VIGLIA LPC
1080 S MYRTLE AVE
KANKAKEE, IL 60901-5458
Phone number: 815-216-8029
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