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1144384355
MARY ELIZABETH KONKEN
CHAMPAIGN, IL
NPI
1144384355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
MARY ELIZABETH KONKEN BA
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2436
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Mailing Address
MARY ELIZABETH KONKEN BA
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2436
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