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1154698983
CAROLYN MARIE GAYLORD
CHAMPAIGN, IL
NPI
1154698983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
-- CAROLYN MARIE GAYLORD
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2439
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Mailing Address
-- CAROLYN MARIE GAYLORD
706 S STATE ST B
CHAMPAIGN, IL 61820-8331
Phone number:
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