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1568719797
DANIEL DOUGLAS HUTCHISON
MARYVILLE, IL
NPI
1568719797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 27213)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
-- DANIEL DOUGLAS HUTCHISON
2148 VADALABENE DR
MARYVILLE, IL 62062-5632
Phone number: 618-288-3100
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Mailing Address
-- DANIEL DOUGLAS HUTCHISON
111 N 9TH ST
MASCOUTAH, IL 62258-1117
Phone number:
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