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1639823776
MELONEE CORNISH
WOOD RIVER, IL
NPI
1639823776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 23977)
Enumeration Date
2022-02-08
Last Update Date
2022-02-08
Business Address
MELONEE CORNISH CRADC
304 WESLEY DR
WOOD RIVER, IL 62095-2266
Phone number: 618-258-7592
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Mailing Address
MELONEE CORNISH CRADC
304 WESLEY DR
WOOD RIVER, IL 62095-2266
Phone number: 618-258-7592
Copy
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