CHAD DRAKE

CARBONDALE, IL
NPI1891169629
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071008612)
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
-- CHAD DRAKE
625 WHAM DR ROOM 141
CARBONDALE, IL 62901-4313
Phone number: 618-453-2361
Mailing Address
-- CHAD DRAKE
625 WHAM DR ROOM 141
CARBONDALE, IL 62901-4313
Phone number: 618-453-2361
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