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1861597023
MARK L BLODGETT
DANVILLE, IL
NPI
1861597023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071003727)
Enumeration Date
2006-09-13
Last Update Date
2013-04-24
Business Address
Dr. MARK L BLODGETT Psy.D
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-5195
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Mailing Address
Dr. MARK L BLODGETT Psy.D
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-5195
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