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1124741301
EMILY JANE BALLEW
CHAMPAIGN, IL
NPI
1124741301
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Former Name
EMILY JANE KEATING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 178.018389)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
EMILY JANE BALLEW LPC
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
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Mailing Address
EMILY JANE BALLEW LPC
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
Copy
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