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1487166203
MELISSA ANN MCCULLOCH
SPRINGFIELD, IL
NPI
1487166203
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Former Name
MELISSA ANN BUNDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 147-018047)
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
MELISSA ANN MCCULLOCH LCSW
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701-1035
Phone number: 217-545-8000
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Mailing Address
MELISSA ANN MCCULLOCH LCSW
PO BOX 19674
SPRINGFIELD, IL 62794-9674
Phone number: 217-545-8000
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