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1609988724
LAUREN BULLARD
MATTOON, IL
NPI
1609988724
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Former Name
LAUREN ROBERTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180-000972)
Enumeration Date
2006-08-31
Last Update Date
2014-03-18
Business Address
MRS. LAUREN BULLARD M.A.
1300 CHARLESTON AVE
MATTOON, IL 61938-4016
Phone number: 217-234-6405
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Mailing Address
MRS. LAUREN BULLARD M.A.
314 N. CEDAR STREET
SHELBYVILLE, IL 62565
Phone number: 217-774-2113
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