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1912215252
CANDACE LOGAN
CHAMPAIGN, IL
NPI
1912215252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
-- CANDACE LOGAN
311 W WHITE ST
CHAMPAIGN, IL 61820-4805
Phone number: 217-359-5276
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Mailing Address
-- CANDACE LOGAN
902 KARA DR
CHAMPAIGN, IL 61822-2388
Phone number:
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