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1093096588
MICHELLE L. BUXTON
CHAMPAIGN, IL
NPI
1093096588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149012607)
Enumeration Date
2011-08-29
Last Update Date
2021-09-16
Business Address
MICHELLE L. BUXTON LCSW
701 DEVONSHIRE DR STE 139
CHAMPAIGN, IL 61820-7337
Phone number: 217-255-2795
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Mailing Address
MICHELLE L. BUXTON LCSW
2303 IRONWOOD CIR
CHAMPAIGN, IL 61822-9299
Phone number: 217-649-8479
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