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1063515682
MICHELLE SUE BAKER
PEORIA, IL
NPI
1063515682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180004467)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Mrs. MICHELLE SUE BAKER LCPC CADC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2451
Phone number: 309-692-6622
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Mailing Address
Mrs. MICHELLE SUE BAKER LCPC CADC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2451
Phone number: 309-692-6622
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