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1902005218
MICHELLE MARIE LANDIS
LIBERTYVILLE, IL
NPI
1902005218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.006533)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
-- MICHELLE MARIE LANDIS MA, LCPC
1590 S MILWAUKEE AVE SUITE 301
LIBERTYVILLE, IL 60048-3793
Phone number: 847-604-1516
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Mailing Address
-- MICHELLE MARIE LANDIS MA, LCPC
1590 S MILWAUKEE AVE SUITE 301
LIBERTYVILLE, IL 60048-3793
Phone number: 847-604-1516
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