Individual
LAURIE HEERMANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 557-1473
Mailing address
1304 DIANNE DR, BLOOMINGTON, IL 61704-2559
(309) 533-0894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.012947
IL
101Y00000X
Counselor
—
—
Other
Enumeration date
02/04/2016
Last updated
01/03/2020
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