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1588315113
ALEXIS DAWN BLACK
CHARLESTON, IL
NPI
1588315113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
ALEXIS DAWN BLACK
1836 VICTORIA LN
CHARLESTON, IL 61920-2964
Phone number: 217-508-8080
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Mailing Address
ALEXIS DAWN BLACK
1836 VICTORIA LN
CHARLESTON, IL 61920-2964
Phone number: 217-508-8080
Copy
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