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1144232638
MELANIE JEAN NORDSTROM
MURPHYSBORO, IL
NPI
1144232638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.010010)
Enumeration Date
2006-08-12
Last Update Date
2007-07-09
Business Address
-- MELANIE JEAN NORDSTROM L.C.S.W.
473 W HARRISON RD
MURPHYSBORO, IL 62966-4782
Phone number: 618-565-2007
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Mailing Address
-- MELANIE JEAN NORDSTROM L.C.S.W.
473 W HARRISON RD
MURPHYSBORO, IL 62966-4782
Phone number: 618-565-2007
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