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1528789831
BENJAMIN JAMES LOUGH
CHAMPAIGN, IL
NPI
1528789831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.024787)
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
Prof. BENJAMIN JAMES LOUGH PhD, LCSW
820 W COLUMBIA AVE
CHAMPAIGN, IL 61820-3306
Phone number: 217-721-5522
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Mailing Address
Prof. BENJAMIN JAMES LOUGH PhD, LCSW
820 W COLUMBIA AVE
CHAMPAIGN, IL 61820-3306
Phone number: 217-721-5522
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