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1366868366
SARA MCCULLOUGH
BLOOMINGTON, IL
NPI
1366868366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016095)
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- SARA MCCULLOUGH
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-820-3654
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Mailing Address
-- SARA MCCULLOUGH
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-820-3654
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