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Individual

AUSTIN LAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3248 VANDEVER AVE, PEKIN, IL 61554-6274
(309) 347-5522
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6274

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/22/2020
Last updated
10/22/2020
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