Individual
MR. EDMUND AU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2100 5TH ST, LINCOLN, IL 62656-9115
(217) 732-3771
Mailing address
353 9TH ST, APT A, LINCOLN, IL 62656-1580
(217) 671-0383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002531
IL
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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