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1457960023
JASON ALLAN SPRAGUE
BATAVIA, IL
NPI
1457960023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180011213)
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
JASON ALLAN SPRAGUE LCPC
1205 FOXGLOVE DR
BATAVIA, IL 60510-2804
Phone number: 630-248-0616
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Mailing Address
JASON ALLAN SPRAGUE LCPC
1205 FOXGLOVE DR
BATAVIA, IL 60510-2804
Phone number: 630-248-0616
Copy
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