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1881602571
SHAWN SOULE
BLOOMINGTON, IL
NPI
1881602571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180003835)
Enumeration Date
2006-08-04
Last Update Date
2013-07-26
Business Address
Mr. SHAWN SOULE LCPC
2416 E WASHINGTON ST STE A3
BLOOMINGTON, IL 61704-1608
Phone number: 309-825-2125
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Mailing Address
Mr. SHAWN SOULE LCPC
3019 BUFFALO LN
NORMAL, IL 61761-7518
Phone number: 309-825-2125
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