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1407001357
PAMELA SUE WATERMAN
DECATUR, IL
NPI
1407001357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.006107)
Enumeration Date
2008-11-19
Last Update Date
2008-11-19
Business Address
-- PAMELA SUE WATERMAN MA, LCPC
720 E. WOOD ST.
DECATUR, IL 62523
Phone number: 217-425-9931
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Mailing Address
-- PAMELA SUE WATERMAN MA, LCPC
720 E WOOD ST
DECATUR, IL 62523-1155
Phone number: 217-425-9931
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