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1811348451
FALLON CLAYTON
VIENNA, IL
NPI
1811348451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-24
Last Update Date
2016-06-24
Business Address
-- FALLON CLAYTON
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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Mailing Address
-- FALLON CLAYTON
2560 FRIENDSHIP SCHOOL RD
ANNA, IL 62906-3560
Phone number: 618-697-4443
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