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1699329268
ALICE C ELLERMETS
CHAMPAIGN, IL
NPI
1699329268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101Y00000X Counselor
(Licence: IL 150-103578)
Enumeration Date
2019-07-31
Last Update Date
2023-03-09
Business Address
ALICE C ELLERMETS LSW
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-383-1850
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Mailing Address
ALICE C ELLERMETS LSW
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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