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1811315484
STACEY A SANICKI
DOWNERS GROVE, IL
NPI
1811315484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.008058)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
-- STACEY A SANICKI
4624 STERLING RD
DOWNERS GROVE, IL 60515-3039
Phone number: 630-802-5378
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Mailing Address
-- STACEY A SANICKI
4624 STERLING RD
DOWNERS GROVE, IL 60515-3039
Phone number: 630-802-5378
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