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1942613104
VICTORIA MOURNING
DEKALB, IL
NPI
1942613104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.010446)
Enumeration Date
2014-06-05
Last Update Date
2023-11-06
Business Address
VICTORIA MOURNING
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
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Mailing Address
VICTORIA MOURNING
PO BOX 1109
DEKALB, IL 60115-7109
Phone number: 815-756-4875
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