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1720009889
NANCY JANE BRACEY
MARYVILLE, IL
NPI
1720009889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180-003128)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
-- NANCY JANE BRACEY LCPC
6201 W MAIN ST SUITE 110
MARYVILLE, IL 62062-6870
Phone number: 618-343-6230
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Mailing Address
-- NANCY JANE BRACEY LCPC
6 E HUNTINGTON DR
MARYVILLE, IL 62062-6724
Phone number: 618-343-6230
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