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Organization
P.A.T.S. PREVENTION AND TREATMENT SERVICES
Active
Organization
P.A.T.S. PREVENTION AND TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A RAY LCSW (OWNER)
(217) 954-1128
Entity
Organization
Contact information
Practice address
300 S BROADWAY AVE, STE 110 A, URBANA, IL 61801-3449
(217) 954-1128
(217) 954-1514
Mailing address
300 S BROADWAY AVE, STE 110 A, URBANA, IL 61801-3449
(217) 954-1128
(217) 954-1514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009355
IL
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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