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1952809170
PAMELA LUGO
VIENNA, IL
NPI
1952809170
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Former Name
PAMELA PLUZYCKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
PAMELA LUGO BA, MHP
406 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-3079
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Mailing Address
PAMELA LUGO BA, MHP
406 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-3079
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