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1649516691
MELINDA SQUIRES
HERRIN, IL
NPI
1649516691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013687)
Enumeration Date
2012-12-19
Last Update Date
2012-12-19
Business Address
Mrs. MELINDA SQUIRES LCSW
109 LOU ANN DR
HERRIN, IL 62948-3733
Phone number: 618-988-1330
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Mailing Address
Mrs. MELINDA SQUIRES LCSW
109 LOU ANN DR
HERRIN, IL 62948-3733
Phone number: 618-988-1330
Copy
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