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1548324312
JAMEY DIVIETRO
NAPERVILLE, IL
NPI
1548324312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180-002543)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Mr. JAMEY DIVIETRO M.A., L.C.P.C.
1288 RICKERT DR SUITE 300
NAPERVILLE, IL 60540-0951
Phone number: 630-717-5657
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Mailing Address
Mr. JAMEY DIVIETRO M.A., L.C.P.C.
2531 WHITEWAY CT
AURORA, IL 60504-5275
Phone number: 630-717-5657
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