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Individual
MR. MICHAEL CONNELL
Active
Individual
MR. MICHAEL CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106001254
IL
106H00000X
Marriage & Family Therapist
208000367
IL
Other
Enumeration date
05/30/2017
Last updated
01/09/2019
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