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1699188946
TERRI MEDWED
CHAMPAIGN, IL
NPI
1699188946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.008655)
Enumeration Date
2014-06-04
Last Update Date
2015-06-09
Business Address
-- TERRI MEDWED
206 N RANDOLPH ST SUITE M106
CHAMPAIGN, IL 61820-3949
Phone number: 217-390-6819
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Mailing Address
-- TERRI MEDWED
206 N RANDOLPH ST SUITE M106
CHAMPAIGN, IL 61820-3949
Phone number: 217-390-6819
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