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1043652126
COURTNEY STREET
CHAMPAIGN, IL
NPI
1043652126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-07-18
Last Update Date
2013-07-18
Business Address
-- COURTNEY STREET BSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-693-4613
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Mailing Address
-- COURTNEY STREET BSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number:
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