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1417493644
KAY B. WHITE
BLOOMINGTON, IL
NPI
1417493644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-000007)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- KAY B. WHITE LCSW
712 E EMPIRE ST
BLOOMINGTON, IL 61701-3252
Phone number: 309-310-6719
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Mailing Address
-- KAY B. WHITE LCSW
712 E EMPIRE ST
BLOOMINGTON, IL 61701-3252
Phone number: 309-310-6719
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