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1861014326
MARVIN MERRIWEATHER
SPRINGFIELD, IL
NPI
1861014326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149.021853)
Enumeration Date
2020-05-07
Last Update Date
2021-03-10
Business Address
MARVIN MERRIWEATHER
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
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Mailing Address
MARVIN MERRIWEATHER
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-3787
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