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1346610292
MARTHA HOUSEHOLTER
NORMAL, IL
NPI
1346610292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178002060)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- MARTHA HOUSEHOLTER
706 OGLESBY AVE STE 112
NORMAL, IL 61761-4618
Phone number: 309-585-0241
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Mailing Address
-- MARTHA HOUSEHOLTER
706 OGLESBY AVE STE 112
NORMAL, IL 61761-4618
Phone number: 309-585-0241
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