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1972753341
SUSAN EVANS
CHAMPAIGN, IL
NPI
1972753341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.010353)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
Ms. SUSAN EVANS LCSW
4009 PINECREST DR
CHAMPAIGN, IL 61822-9214
Phone number: 217-359-6104
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Mailing Address
Ms. SUSAN EVANS LCSW
4009 PINECREST
CHAMPAIGN, IL 61822
Phone number: 217-359-6104
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