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1760113005
YVONNE LICAVOLI
SWANSEA, IL
NPI
1760113005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178015261)
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
YVONNE LICAVOLI
4509 N ILLINOIS ST STE 4
SWANSEA, IL 62226-1524
Phone number: 314-669-5060
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Mailing Address
YVONNE LICAVOLI
9626 RIDGE HEIGHTS RD
FAIRVIEW HEIGHTS, IL 62208-2319
Phone number: 314-397-1428
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