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Individual

CONSTANCE J ARSENEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 379-4304
Mailing address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 379-4304

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149006114
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149006114
STATE LICENSE NUMBER
IL
Enumeration date
05/27/2010
Last updated
05/27/2010
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