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1649486259
MICHELLE BAKER
MCHENRY, IL
NPI
1649486259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IL 16425)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
MICHELLE BAKER
4100 VETERANS PARKWAY
MCHENRY, IL 60050
Phone number: 815-385-6400
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Mailing Address
MICHELLE BAKER
4100 VETERANS PARKWAY
MCHENRY, IL 60050
Phone number: 815-385-6400
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