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1558686261
JASON CHRISTOPHER EDWARDS
MARION, IL
NPI
1558686261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178.003427)
Enumeration Date
2010-04-06
Last Update Date
2010-04-06
Business Address
Mr. JASON CHRISTOPHER EDWARDS LPC
1307 W MAIN ST
MARION, IL 62959-1139
Phone number: 618-997-5336
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Mailing Address
Mr. JASON CHRISTOPHER EDWARDS LPC
401 N MAIN ST
ANNA, IL 62906-1620
Phone number: 618-997-5336
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