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1295107787
CANDYCE BOOKER
CHAMPAIGN, IL
NPI
1295107787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017310)
Enumeration Date
2015-10-23
Last Update Date
2015-10-23
Business Address
-- CANDYCE BOOKER LCSW
701 DEVONSHIRE DRIVE SUITE B1
CHAMPAIGN, IL 61820
Phone number: 217-352-0200
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Mailing Address
-- CANDYCE BOOKER LCSW
701 DEVONSHIRE DR SUITE B1
CHAMPAIGN, IL 61820-7337
Phone number: 217-352-0200
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