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1740322031
PAMELA KAE SOPER
CHAMPAIGN, IL
NPI
1740322031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149003459)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Ms. PAMELA KAE SOPER L.C.S.W
206 N RANDOLPH ST SUITE 404
CHAMPAIGN, IL 61820-3949
Phone number: 217-351-5188
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Mailing Address
Ms. PAMELA KAE SOPER L.C.S.W
206 N RANDOLPH ST SUITE 404
CHAMPAIGN, IL 61820-3949
Phone number: 217-351-5188
Copy
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