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1982618526
KEVIN LESLEI ELLIOTT
CHAMPAIGN, IL
NPI
1982618526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-003499)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Mr. KEVIN LESLEI ELLIOTT LCPC
44 E MAIN ST STE. 406
CHAMPAIGN, IL 61820-3636
Phone number: 217-398-9066
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Mailing Address
Mr. KEVIN LESLEI ELLIOTT LCPC
44 E MAIN ST STE. 406
CHAMPAIGN, IL 61820-3636
Phone number: 217-398-9066
Copy
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