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1235443862
AMANDA SHEPPARD
MONTICELLO, IL
NPI
1235443862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.009734)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-08-06
Last Update Date
2015-08-10
Business Address
-- AMANDA SHEPPARD LCPC
102 E LAFAYETTE ST
MONTICELLO, IL 61856-1954
Phone number: 217-373-2428
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Mailing Address
-- AMANDA SHEPPARD LCPC
102 E LAFAYETTE ST
MONTICELLO, IL 61856-1954
Phone number: 217-369-3075
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