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1801623590
JESSE BUSS
CHAMPAIGN, IL
NPI
1801623590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150113732)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
JESSE BUSS MSW, LSW, QMHP
2302 MORELAND BLVD
CHAMPAIGN, IL 61822-1398
Phone number: 217-356-7576
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Mailing Address
JESSE BUSS MSW, LSW, QMHP
2521 LEEPER DR. UNIT A
CHAMPAIGN, IL 61822
Phone number: 815-323-9944
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