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1750754008
POLLY MARIE VAUGHN
BOURBONNAIS, IL
NPI
1750754008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180009894)
Enumeration Date
2015-11-09
Last Update Date
2023-06-07
Business Address
POLLY MARIE VAUGHN
206 CHESTERFIELD CT
BOURBONNAIS, IL 60914-9652
Phone number: 815-603-2425
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Mailing Address
POLLY MARIE VAUGHN
PO BOX 2199
KANKAKEE, IL 60901-1199
Phone number: 815-603-2425
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