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1932339066
ANTHONY MERRITT
CHAMPAIGN, IL
NPI
1932339066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149011621)
Enumeration Date
2009-07-23
Last Update Date
2009-07-23
Business Address
Mr. ANTHONY MERRITT LCSW
2110 CLEARLAKE BLVD STE 202
CHAMPAIGN, IL 61822-8933
Phone number: 217-356-9922
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Mailing Address
Mr. ANTHONY MERRITT LCSW
2110 CLEARLAKE BLVD STE 202
CHAMPAIGN, IL 61822-8933
Phone number: 217-356-9922
Copy
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