DAVID ALLEN ELAM

CARBONDALE, IL
NPI1831112804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180001250)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- DAVID ALLEN ELAM Ph.D.
139 PINE SHORE DR # 37
CARBONDALE, IL 62902-7503
Phone number: 618-529-3900
Mailing Address
-- DAVID ALLEN ELAM Ph.D.
139 PINE SHORE DR # 37
CARBONDALE, IL 62902-7503
Phone number: 618-529-3900
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