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1801552559
MICHELLE R HAASE
BLOOMINGTON, IL
NPI
1801552559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.022301)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
MICHELLE R HAASE LCSW
19171 BRENTWOOD DR
BLOOMINGTON, IL 61705-5223
Phone number: 309-262-5961
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Mailing Address
MICHELLE R HAASE LCSW
19171 BRENTWOOD DR
BLOOMINGTON, IL 61705-5223
Phone number: 309-262-5961
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