Individual
MS. BERNETTA A ANDREWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4481 ASH GROVE DR STE A-D, SPRINGFIELD, IL 62711-6358
(217) 717-4733
(217) 679-5981
Mailing address
317 E KIMBLE ST, SPRINGFIELD, IL 62703-4626
(773) 993-4518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020822
IL
Other
Enumeration date
06/29/2020
Last updated
07/01/2020
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