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Individual
MARY ELIZABETH DYER
Active
Individual
MARY ELIZABETH DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200755261
TAX IDENTIFICATION
IL
Enumeration date
11/07/2006
Last updated
09/09/2024
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