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1598785644
THERESA M. REGAN
PEORIA, IL
NPI
1598785644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-005868)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- THERESA M. REGAN Ph.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-7378
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Mailing Address
-- THERESA M. REGAN Ph.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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