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1740581206
TIMOTHY M VANDORN
WHEATON, IL
NPI
1740581206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.006800)
Enumeration Date
2010-11-15
Last Update Date
2010-11-15
Business Address
-- TIMOTHY M VANDORN LPC
1616 E ROOSEVELT RD SUITE 8
WHEATON, IL 60187-6850
Phone number: 630-588-1201
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Mailing Address
-- TIMOTHY M VANDORN LPC
2416 BARKDOLL RD
NAPERVILLE, IL 60565-3340
Phone number: 630-355-6260
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