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1649545963
LISA RENE GENTRY
PEKIN, IL
NPI
1649545963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.007629)
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
Mrs. LISA RENE GENTRY MA, NCC, LPC
901 BROADWAY ST
PEKIN, IL 61554-4768
Phone number: 309-353-2079
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Mailing Address
Mrs. LISA RENE GENTRY MA, NCC, LPC
901 BROADWAY ST
PEKIN, IL 61554-4768
Phone number: 309-353-2079
Copy
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