Provider Information for 1457428740
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Ms. ANNE ROUSSEAU DOUGLAS M.S., LMFT
Other Names:Former Name:Ms. ROSANNE C DRESHER M.S., LMFTSex: Female
NPI: 1457428740
Last Updated: 2009-12-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1457428740 | ||||||||||||
| Enumeration Date | 2006-11-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 190 MAPLE HILL ROAD GLENCOE, IL 60022 United States Phone: 847-835-3100 | Fax:847-835-1684 | ||||||||||||
| Primary Practice Address | 190 MAPLE HILL ROAD GLENCOE, IL 60022 United States Phone: 847-835-3100 | Fax:847-835-1684 | ||||||||||||
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