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Individual

MRS. JANIS E. RUNYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
11008 W LINCOLN HWY, FRANKFORT, IL 60423-9765
(815) 469-4778
Mailing address
260 E CIRCLE DR, NEW LENOX, IL 60451-9760
(815) 485-0385

Taxonomy

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

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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