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1871946749
MELISSA BOX
NORMAL, IL
NPI
1871946749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016634)
Enumeration Date
2016-07-15
Last Update Date
2016-07-15
Business Address
-- MELISSA BOX LCSW
705 E LINCOLN ST STE 303
NORMAL, IL 61761-6406
Phone number: 309-451-9495
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Mailing Address
-- MELISSA BOX LCSW
705 E LINCOLN ST STE 303
NORMAL, IL 61761-6406
Phone number: 309-451-9495
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