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1538751250
DENNIS R COCKRUM
CHAMPAIGN, IL
NPI
1538751250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
Mr. DENNIS R COCKRUM LCSW
20 LAKE PARK RD
CHAMPAIGN, IL 61822-7132
Phone number: 217-369-2190
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Mailing Address
Mr. DENNIS R COCKRUM LCSW
20 LAKE PARK RD
CHAMPAIGN, IL 61822-7132
Phone number: 217-369-2190
Copy
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