Individual
NATHANIEL FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 347-5579
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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