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1942557525
BETHANY VANNE
PEORIA, IL
NPI
1942557525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.008327)
Enumeration Date
2012-08-13
Last Update Date
2012-08-14
Business Address
-- BETHANY VANNE L.C.P.C.
3716 W BRIGHTON AVE
PEORIA, IL 61615-2938
Phone number: 309-692-7755
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Mailing Address
-- BETHANY VANNE L.C.P.C.
3716 W BRIGHTON AVE
PEORIA, IL 61615-2938
Phone number: 309-692-7755
Copy
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