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1922152495
NANCY T. PETERSON
CHAMPAIGN, IL
NPI
1922152495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149003492)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mrs. NANCY T. PETERSON L.C.S.W.
1605 W CHURCH ST
CHAMPAIGN, IL 61821-2432
Phone number: 217-621-1330
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Mailing Address
Mrs. NANCY T. PETERSON L.C.S.W.
1605 W CHURCH ST
CHAMPAIGN, IL 61821-2432
Phone number: 217-621-1330
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