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1043957392
ROSE ST CLAIR
CHAMPAIGN, IL
NPI
1043957392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149024140)
Enumeration Date
2022-05-18
Last Update Date
2022-09-15
Business Address
ROSE ST CLAIR LCSW
701 DEVONSHIRE DR STE D-2B
CHAMPAIGN, IL 61820-7337
Phone number: 312-854-9661
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Mailing Address
ROSE ST CLAIR LCSW
701 DEVONSHIRE DR STE D-2B
CHAMPAIGN, IL 61820-7337
Phone number: 312-854-9661
Copy
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