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1336244003
KIMBERLY JEAN TERRY
MARION, IL
NPI
1336244003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.009203)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY JEAN TERRY LCSW
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
Ms. KIMBERLY JEAN TERRY LCSW
109 BOSWELL RD
MARION, IL 62959-4906
Phone number: 618-993-8387
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