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1407358492
ALLEANA MICAELA MAGLAQUE FUENTES
SPRINGFIELD, IL
NPI
1407358492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-03-06
Last Update Date
2018-06-16
Business Address
MISS ALLEANA MICAELA MAGLAQUE FUENTES MS
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number: 217-585-4700
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Mailing Address
MISS ALLEANA MICAELA MAGLAQUE FUENTES MS
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number:
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