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1194924894
CRYSTAL POWELL
CHAMPAIGN, IL
NPI
1194924894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- CRYSTAL POWELL
202 E PARK ST
CHAMPAIGN, IL 61820-3723
Phone number: 217-398-8080
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Mailing Address
-- CRYSTAL POWELL
202 E PARK ST
CHAMPAIGN, IL 61820-3723
Phone number:
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