Individual
EMMA K GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, QMHP
Contact information
Practice address
801 N WALNUT ST, CHAMPAIGN, IL 61820-3055
(217) 693-4529
Mailing address
1616 E FAIRLAWN DR, URBANA, IL 61802-5422
(217) 898-7609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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