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Organization
PATRICIA A. ROOSEVELT LLC
Active
Organization
PATRICIA A. ROOSEVELT LLC
Active
Other names
Dare to Hope Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A. ROOSEVELT LCPC (PRESIDENT)
(618) 977-0734
Entity
Organization
Contact information
Practice address
101 MCCROSKY PROFESSIONAL PARK, COLUMBIA, IL 62236-2471
(618) 977-0734
Mailing address
4604 KASKASKIA RD, WATERLOO, IL 62298-3712
(618) 977-0734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011395
IL
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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