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1619301058
TIMOTHY CHENG CHU
BLOOMINGTON, IL
NPI
1619301058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149015895)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
-- TIMOTHY CHENG CHU
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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Mailing Address
-- TIMOTHY CHENG CHU
609 W MAPLE DR
EUREKA, IL 61530-1340
Phone number: 907-467-2579
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