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1932743663
JERIDITH ANN LORD
WOODSTOCK, IL
NPI
1932743663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.013771)
Enumeration Date
2019-11-06
Last Update Date
2022-09-09
Business Address
Mrs. JERIDITH ANN LORD LCPC
226 W JUDD ST
WOODSTOCK, IL 60098-3158
Phone number: 815-575-8860
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Mailing Address
Mrs. JERIDITH ANN LORD LCPC
PSC 37, BOX 3086
APO, AE 09459
Phone number: 516-308-6951
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