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1508209370
VICKIE LEWIS
PEKIN, IL
NPI
1508209370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IL CRADC)
Enumeration Date
2013-04-11
Last Update Date
2013-04-11
Business Address
VICKIE LEWIS CADC
3248 VANDEVER AVE
PEKIN, IL 61554-6257
Phone number: 309-347-5579
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Mailing Address
VICKIE LEWIS CADC
3248 VANDEVER AVE
PEKIN, IL 61554-6257
Phone number: 309-347-5579
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