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1548980287
MARIAH LONYEA MIMS
CHARLESTON, IL
NPI
1548980287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.018271)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
MARIAH LONYEA MIMS
121 W STATE ST
CHARLESTON, IL 61920-1359
Phone number: 217-345-4642
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Mailing Address
MARIAH LONYEA MIMS
2350 BOSTIC DR APT 301
CHARLESTON, IL 61920-4921
Phone number: 708-745-0129
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