Individual
DEANDRA RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
Mailing address
205 S 24TH ST, QUINCY, IL 62301-4446
(217) 592-0338
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
09/29/2014
Last updated
10/23/2019
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