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Individual

ANGELA DECRAENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25224 W EAMES ST, CHANNAHON, IL 60410-5215
(815) 685-7601
Mailing address
705 AVALON WAY, MINOOKA, IL 60447-4592
(815) 685-7601

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008724
IL

Other

Enumeration date
01/11/2014
Last updated
01/11/2014
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