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1124588900
ALICIA SEVERINS
CHAMPAIGN, IL
NPI
1124588900
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Former Name
ALICIA MANGRUM-NUSS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180003308)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
ALICIA SEVERINS LCPC
3362 BIG PINE TRL STE A
CHAMPAIGN, IL 61822-1409
Phone number: 217-383-0151
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Mailing Address
ALICIA SEVERINS LCPC
3362 BIG PINE TRL STE A
CHAMPAIGN, IL 61822-1409
Phone number: 217-383-0151
Copy
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