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Individual

MS. CAROL KAASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
Mailing address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/05/2016
Last updated
05/11/2016
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