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Carol Sue Wright, Counselor

Counselor, Professional in Decatur, IL. Individual provider (NPI-1).

NPI number1760623748
StatusActive
Last updated in NPPESMar 20, 2009

Details

NPI
1760623748
Entity type
Individual (NPI-1)
Name
Ms. Carol Sue Wright
Credential
Counselor
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2009
Last updated
Mar 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional178.005829ILYes

Practice location

3040 N University Ave
Suite 2
Decatur, IL 62526-1391

Phone 217-872-1700 · Fax 217-872-1366

Mailing address

3040 N University Ave
Suite 2
Decatur, IL 62526-1391

Phone 217-872-1700 · Fax 217-872-1366

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