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1295311587
KENNETH E NEWSOME
CHAMPAIGN, IL
NPI
1295311587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
Mr. KENNETH E NEWSOME
1764 VALLEY RD
CHAMPAIGN, IL 61820-7112
Phone number: 131-280-6751
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Mailing Address
Mr. KENNETH E NEWSOME
2826 N. MONROE ST
DECATUR, IL 62526
Phone number: 708-771-7180
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