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1598104523
MICHAEL PETITT
DEKALB, IL
NPI
1598104523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 30401)
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
Mr. MICHAEL PETITT CADC
12 HEALTH SERVICES DRIVE
DEKALB, IL 60115
Phone number: 815-756-4875
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Mailing Address
Mr. MICHAEL PETITT CADC
12 HEALTH SERVICES DRIVE
DEKALB, IL 60115
Phone number: 815-756-4875
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