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Individual

ERIN MICHELLE SANSOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
(309) 829-6808
Mailing address
217 THOMPSON DR, LINCOLN, IL 62656-9124
(217) 671-6880

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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