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1144856022
JON M BORMANN
SPRINGFIELD, IL
NPI
1144856022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180.01227)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
JON M BORMANN LCPC
710 N 8TH ST
SPRINGFIELD, IL 62702-6324
Phone number: 217-525-1064
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Mailing Address
JON M BORMANN LCPC
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-525-1064
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