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1639637556
LAURA ALYCE COLANTINO
SPRINGFIELD, IL
NPI
1639637556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178014702)
Enumeration Date
2019-03-10
Last Update Date
2019-03-10
Business Address
LAURA ALYCE COLANTINO
3000 LENHART RD
SPRINGFIELD, IL 62711-9203
Phone number: 217-698-7150
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Mailing Address
LAURA ALYCE COLANTINO
307 S MAIN ST
LOAMI, IL 62661-3322
Phone number: 217-415-1721
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