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1689845620
ANN CAROL RUSSELL
CHAMPAIGN, IL
NPI
1689845620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 149008848)
Enumeration Date
2008-03-18
Last Update Date
2008-03-18
Business Address
Ms. ANN CAROL RUSSELL LCSW
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
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Mailing Address
Ms. ANN CAROL RUSSELL LCSW
2905 NORTH MAIN STREET
DECATUR, IL 62526
Phone number: 217-877-9117
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