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1467987842
JENNIFER LABANOWSKI
PEORIA, IL
NPI
1467987842
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Former Name
JENNIFER VITAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.001131)
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- JENNIFER LABANOWSKI LMFT
706 E FORREST HILL AVE
PEORIA, IL 61603-1926
Phone number: 262-389-0656
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Mailing Address
-- JENNIFER LABANOWSKI LMFT
115 E SOUTHGATE RD
PEORIA, IL 61614-3028
Phone number: 262-389-0656
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