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Individual

MRS. EMMA LOUISE BURDICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LCPC

Contact information

Practice address
1305 N 2800 EAST RD, WINDSOR, IL 61957-1280
(309) 634-1252
Mailing address
1305 N 2800 EAST RD, WINDSOR, IL 61957-1280
(309) 634-1252

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.018561
IL
101YP2500X
Professional Counselor
Primary
180.017039
IL

Other

Enumeration date
07/02/2024
Last updated
05/06/2025
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