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Individual

MRS. JAMIE LYNN FITTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2266 MADISON AVE, GRANITE CITY, IL 62040-4705
(618) 877-1184
(618) 798-4287
Mailing address
2266 MADISON AVE, GRANITE CITY, IL 62040-4705
(618) 877-1184
(618) 798-4287

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008145
IL

Other

Enumeration date
07/23/2012
Last updated
07/23/2012
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