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1649708926
SUSAN KAY SELOCK
HERRIN, IL
NPI
1649708926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149012440)
Enumeration Date
2017-05-31
Last Update Date
2021-09-28
Business Address
SUSAN KAY SELOCK LCSW
317 S 14TH ST STE 1
HERRIN, IL 62948-3673
Phone number: 618-988-6171
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Mailing Address
SUSAN KAY SELOCK LCSW
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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