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1376825950
KIM A CALLAWAY
EDWARDSVILLE, IL
NPI
1376825950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.007949)
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
-- KIM A CALLAWAY LCPC
40B EDWARDSVILLE PROF PARK
EDWARDSVILLE, IL 62025-3602
Phone number: 618-795-2697
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Mailing Address
-- KIM A CALLAWAY LCPC
PO BOX 101
EDWARDSVILLE, IL 62025-0101
Phone number: 618-795-2697
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