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1811499924
SUSAN CUPKA HEAD
CHAMPAIGN, IL
NPI
1811499924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150.103018)
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
SUSAN CUPKA HEAD
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
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Mailing Address
SUSAN CUPKA HEAD
407 E UNIVERSITY AVE STE D
CHAMPAIGN, IL 61820-3865
Phone number:
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