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1609024298
SUSAN K MARTIN
DECATUR, IL
NPI
1609024298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178-005461)
Enumeration Date
2008-09-08
Last Update Date
2008-09-08
Business Address
-- SUSAN K MARTIN
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
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Mailing Address
-- SUSAN K MARTIN
PO BOX 710
DECATUR, IL 62525-0710
Phone number: 217-362-6262
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