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1447270368
SETH R. HATLELID
BLOOMINGTON, IL
NPI
1447270368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.006972)
Enumeration Date
2006-07-21
Last Update Date
2010-06-11
Business Address
-- SETH R. HATLELID Psy.D.
1015 S MERCER AVE
BLOOMINGTON, IL 61701-7107
Phone number: 309-706-9532
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Mailing Address
-- SETH R. HATLELID Psy.D.
PO BOX 604
BLOOMINGTON, IL 61702-0604
Phone number: 309-706-3190
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