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1174258859
KACIE WATERMAN
CHAMPAIGN, IL
NPI
1174258859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.024212)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
KACIE WATERMAN LCSW
2125 S NEIL ST
CHAMPAIGN, IL 61820-7266
Phone number: 217-493-4748
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Mailing Address
KACIE WATERMAN LCSW
2125 S NEIL ST
CHAMPAIGN, IL 61820-7266
Phone number: 217-493-4748
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