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1659048064
SUSAN MARIE LEFAIVRE
DIXON, IL
NPI
1659048064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
SUSAN MARIE LEFAIVRE
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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Mailing Address
SUSAN MARIE LEFAIVRE
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number:
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