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Organization
NELSON FAMILY COUNSELING, LLC.
Active
Organization
NELSON FAMILY COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHARINE ANN FAGAN-NELSON LCSW (LICENSCED CLINICAL SOCIAL WORKER)
(309) 826-3566
Entity
Organization
Contact information
Practice address
705 E LINCOLN ST STE 302, NORMAL, IL 61761-6406
(309) 826-3566
(309) 452-9814
Mailing address
705 E LINCOLN ST STE 302, NORMAL, IL 61761-6406
(309) 826-3566
(309) 452-9814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009316
IL
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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