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1356521280
WILLIAM ROGER WHITE
BLOOMINGTON, IL
NPI
1356521280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149004861)
Enumeration Date
2007-11-08
Last Update Date
2011-02-07
Business Address
Mr. WILLIAM ROGER WHITE LCSW
712 E EMPIRE ST
BLOOMINGTON, IL 61701-3252
Phone number: 309-287-9464
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Mailing Address
Mr. WILLIAM ROGER WHITE LCSW
712 E EMPIRE ST
BLOOMINGTON, IL 61701-3252
Phone number: 309-287-9464
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