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1932512902
DENISE A WIRTH
MOKENA, IL
NPI
1932512902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180009160)
Enumeration Date
2014-06-08
Last Update Date
2014-06-08
Business Address
MRS. DENISE A WIRTH LCPC
19250 EVERETT LN SUITE #102
MOKENA, IL 60448-8942
Phone number: 708-925-7258
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Mailing Address
MRS. DENISE A WIRTH LCPC
680 LENOX ST
NEW LENOX, IL 60451-4200
Phone number: 708-925-7258
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