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1508632233
TYRESE PATTERSON
MATTOON, IL
NPI
1508632233
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Other Name
TY PATTERSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
TYRESE PATTERSON RSA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5735
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Mailing Address
TYRESE PATTERSON RSA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5735
Copy
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