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1205869005
LORI BUSHELL
PEORIA, IL
NPI
1205869005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180004972)
Enumeration Date
2006-07-08
Last Update Date
2018-03-17
Business Address
LORI BUSHELL LCPC
2001 W WILLOW KNOLLS DR
PEORIA, IL 61614-1290
Phone number: 309-263-5565
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Mailing Address
LORI BUSHELL LCPC
2000 W PIONEER PKWY STE 20
PEORIA, IL 61615-5805
Phone number: 309-231-6180
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