ALEXIS DAWN BLACK

CHARLESTON, IL
NPI1588315113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-01-14
Last Update Date2022-01-14
Business Address
ALEXIS DAWN BLACK
1836 VICTORIA LN
CHARLESTON, IL 61920-2964
Phone number: 217-508-8080
Mailing Address
ALEXIS DAWN BLACK
1836 VICTORIA LN
CHARLESTON, IL 61920-2964
Phone number: 217-508-8080
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