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1629830211
SAMANTHA CARROLL
DECATUR, IL
NPI
1629830211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 179.019203)
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
SAMANTHA CARROLL LPC
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
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Mailing Address
SAMANTHA CARROLL LPC
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Copy
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