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1982821716
WAYNE J KUBASAK
MACOMB, IL
NPI
1982821716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180000942)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
-- WAYNE J KUBASAK MS, LCPC
525 E GRANT ST
MACOMB, IL 61455-3313
Phone number: 309-833-4101
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Mailing Address
-- WAYNE J KUBASAK MS, LCPC
525 E GRANT ST
MACOMB, IL 61455-3313
Phone number: 309-833-4101
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