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Organization
TERI BOUDREAU, LTD.
Active
Organization
TERI BOUDREAU, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI DEAN BOUDREAU LCPC (LICENSED CLINICAL PROFESSIONAL COUN)
(815) 929-1940
Entity
Organization
Contact information
Practice address
310 N CONVENT ST, BOURBONNAIS, IL 60914-2099
(815) 929-1940
Mailing address
PO BOX 334, BRADLEY, IL 60915-0334
(815) 929-1940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180003442
IL
Other
Enumeration date
09/20/2007
Last updated
12/10/2009
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