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1902972797
SALLY W. ANDERSON
CHAMPAIGN, IL
NPI
1902972797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180004677)
Enumeration Date
2006-11-26
Last Update Date
2007-07-08
Business Address
Ms. SALLY W. ANDERSON LCPC
502 W CLARK ST SUITE 201
CHAMPAIGN, IL 61820-4600
Phone number: 217-355-4450
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Mailing Address
Ms. SALLY W. ANDERSON LCPC
4001 GOLF CREEK DR
CHAMPAIGN, IL 61822-9208
Phone number: 217-356-3979
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