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1104320456
AMY LYNN KINNETT
MATTOON, IL
NPI
1104320456
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Former Name
AMY DEEM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
AMY LYNN KINNETT
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
AMY LYNN KINNETT
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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