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1518704501
DEIDRA DAME
CHAMPAIGN, IL
NPI
1518704501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 150113585)
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
DEIDRA DAME LSW
495 DEVONSHIRE DR
CHAMPAIGN, IL 61820-7295
Phone number: 217-904-3035
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Mailing Address
DEIDRA DAME LSW
495 DEVONSHIRE DR
CHAMPAIGN, IL 61820-7295
Phone number: 217-904-3035
Copy
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