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1003107145
CARRIE P BUSSMANN
NORMAL, IL
NPI
1003107145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180005335)
Enumeration Date
2011-04-24
Last Update Date
2014-09-15
Business Address
-- CARRIE P BUSSMANN LCPC
706 OGLESBY AVE STE 112
NORMAL, IL 61761-4616
Phone number: 309-585-0241
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Mailing Address
-- CARRIE P BUSSMANN LCPC
706 OGLESBY AVE STE 112
NORMAL, IL 61761-4616
Phone number: 309-585-0241
Copy
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