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1982770103
RONALD WAYNE BENNETT
FRANKFORT, IL
NPI
1982770103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180-002556)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Mr. RONALD WAYNE BENNETT LCPC
809 OVERLOOK DR
FRANKFORT, IL 60423-1053
Phone number: 815-351-2299
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Mailing Address
Mr. RONALD WAYNE BENNETT LCPC
809 OVERLOOK DR
FRANKFORT, IL 60423-1053
Phone number: 815-351-2299
Copy
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