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1649696964
RICHARD VANDER FOREST
ELGIN, IL
NPI
1649696964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- RICHARD VANDER FOREST
1845 GRANDSTAND PL
ELGIN, IL 60123-6603
Phone number: 847-695-0484
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Mailing Address
-- RICHARD VANDER FOREST
1845 GRANDSTAND PLACE
ELGIN, IL 60123
Phone number: 847-695-0484
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