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1295165173
SUSAN KAZMIERCZAK
CHAMPAIGN, IL
NPI
1295165173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149015801)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- SUSAN KAZMIERCZAK MSW, LCSW
801 N WALNUT ST
CHAMPAIGN, IL 61820-3055
Phone number: 217-373-2436
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Mailing Address
-- SUSAN KAZMIERCZAK MSW, LCSW
903 SCOTTSDALE DR
CHAMPAIGN, IL 61821-4159
Phone number: 217-373-2436
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