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1609492669
DYLAN J MAHAFFEY
CHAMPAIGN, IL
NPI
1609492669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178.015779)
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
DYLAN J MAHAFFEY LPC
201 W SPRINGFIELD AVE STE 1005
CHAMPAIGN, IL 61820-4968
Phone number: 217-693-4918
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Mailing Address
DYLAN J MAHAFFEY LPC
502 S MATTIS AVE APT T
CHAMPAIGN, IL 61821-3692
Phone number: 618-553-1086
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