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1154930394
LUCAS SAWISCH
BLOOMINGTON, IL
NPI
1154930394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
LUCAS SAWISCH
502 S MORRIS AVE
BLOOMINGTON, IL 61701-4884
Phone number: 309-820-7616
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Mailing Address
LUCAS SAWISCH
502 S MORRIS AVE
BLOOMINGTON, IL 61701-4884
Phone number: 309-820-7616
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