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1164134284
KRISTIN MAXWELL
CHAMPAIGN, IL
NPI
1164134284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.017604)
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
KRISTIN MAXWELL PhD, CRC, LPC
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-365-2855
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Mailing Address
KRISTIN MAXWELL PhD, CRC, LPC
2518 FIELDS SOUTH DR APT 201
CHAMPAIGN, IL 61822-3728
Phone number: 608-712-2903
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