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1467227587
LORA LINN GOODNIGHT
CHAMPAIGN, IL
NPI
1467227587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149012878)
Enumeration Date
2023-11-20
Last Update Date
2023-12-01
Business Address
LORA LINN GOODNIGHT LCSW
1108 S PINE ST
CHAMPAIGN, IL 61820-6335
Phone number: 708-669-6019
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Mailing Address
LORA LINN GOODNIGHT LCSW
1108 S PINE ST
CHAMPAIGN, IL 61820-6335
Phone number: 708-669-6019
Copy
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