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1992053771
KIMBERLY KAYE ASNER-SELF
HERRIN, IL
NPI
1992053771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.004440)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
Prof. KIMBERLY KAYE ASNER-SELF Ed.D., NCC, LCPC
109 LOU ANN DR
HERRIN, IL 62948-3733
Phone number: 618-988-1330
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Mailing Address
Prof. KIMBERLY KAYE ASNER-SELF Ed.D., NCC, LCPC
625 WHAM DR MAIL CODE 4618
CARBONDALE, IL 62901-4313
Phone number: 618-453-2311
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