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1962488783
AMY NICOLE EVERMON
MATTOON, IL
NPI
1962488783
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Former Name
AMY NICOLE BRAULT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180-004516)
Enumeration Date
2005-12-22
Last Update Date
2007-11-21
Business Address
Mrs. AMY NICOLE EVERMON M.S.ed
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
Mrs. AMY NICOLE EVERMON M.S.ed
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Copy
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