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1689945685
PHYLLIS J WELLS
LAWRENCEVILLE, IL
NPI
1689945685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
-- PHYLLIS J WELLS
RR 1 BOX 277
LAWRENCEVILLE, IL 62439-9784
Phone number: 618-943-3754
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Mailing Address
-- PHYLLIS J WELLS
RR 1 BOX 277
LAWRENCEVILLE, IL 62439-9784
Phone number: 618-943-3754
Copy
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