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1609380310
MACY SHUPE
MATTOON, IL
NPI
1609380310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
MACY SHUPE BA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
MACY SHUPE BA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Copy
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