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1447308796
BRENT A ULRICH
ORLAND PARK, IL
NPI
1447308796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178004133)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- BRENT A ULRICH LPC
15127 S 73RD AVE STE G
ORLAND PARK, IL 60462-3425
Phone number: 616-942-8060
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Mailing Address
-- BRENT A ULRICH LPC
PO BOX 1251
MIDDLETOWN, OH 45042-0103
Phone number: 616-942-8060
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