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1871782805
KATHLEEN BACKUS
BLOOMINGTON, IL
NPI
1871782805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180004305)
Enumeration Date
2007-10-16
Last Update Date
2022-08-26
Business Address
KATHLEEN BACKUS MA, LCPC
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704-6075
Phone number: 309-212-6007
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Mailing Address
KATHLEEN BACKUS MA, LCPC
2203 E WASHINGTON ST
BLOOMINGTON, IL 61701-4322
Phone number: 309-663-0781
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