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1679968283
SAMANTHA JOY DONOVAN
SPRINGFIELD, IL
NPI
1679968283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 178.010877)
Enumeration Date
2015-03-31
Last Update Date
2018-03-17
Business Address
SAMANTHA JOY DONOVAN LPC
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number: 217-585-1180
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Mailing Address
SAMANTHA JOY DONOVAN LPC
PO BOX 51
MANCHESTER, IL 62663-0051
Phone number: 217-883-2282
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