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1477040582
MARY J IFFERT
WHEATON, IL
NPI
1477040582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: IL 170220)
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
MARY J IFFERT NCSP
130 N HAZELTON AVE
WHEATON, IL 60187-4550
Phone number: 630-682-2474
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Mailing Address
MARY J IFFERT NCSP
130 N HAZELTON AVE
WHEATON, IL 60187-4550
Phone number: 630-682-2474
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