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1437354495
ROULA E GHANTOUS
PEORIA, IL
NPI
1437354495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180005625)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
Mrs. ROULA E GHANTOUS LCPC
4302 W DEERMEADOW DR
PEORIA, IL 61615-8918
Phone number: 309-264-3970
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Mailing Address
Mrs. ROULA E GHANTOUS LCPC
4302 W DEERMEADOW DR
PEORIA, IL 61615-8918
Phone number: 309-264-3970
Copy
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