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1356627608
SARA C MACKUS
CHAMPAIGN, IL
NPI
1356627608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
-- SARA C MACKUS MA
311 W WHITE ST
CHAMPAIGN, IL 61820-4805
Phone number: 217-359-5276
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Mailing Address
-- SARA C MACKUS MA
502 S MATTIS AVE APT. V
CHAMPAIGN, IL 61821-3639
Phone number: 217-359-5726
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