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1548409329
ALEXANDER D BRUCKER
NORMAL, IL
NPI
1548409329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.007128)
Enumeration Date
2009-02-18
Last Update Date
2009-02-18
Business Address
Mr. ALEXANDER D BRUCKER LCPC
1100 BEECH ST STE 7
NORMAL, IL 61761-1456
Phone number: 309-454-1770
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Mailing Address
Mr. ALEXANDER D BRUCKER LCPC
108 E WILLOW ST
NORMAL, IL 61761-1640
Phone number: 309-454-1770
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