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Individual

DR. CHARLENE M.T. PIERCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
24402 W LOCKPORT ST, STE 224, PLAINFIELD, IL 60544-4248
(708) 476-2656
Mailing address
24402 W LOCKPORT ST, STE 224, PLAINFIELD, IL 60544-4248
(708) 476-2656

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006432
IL

Other

Enumeration date
11/17/2006
Last updated
09/26/2017
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