Individual
MS. ALLIE PAYTON CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
1600 W BRADLEY AVE, APT J193, CHAMPAIGN, IL 61821-2208
(217) 251-3159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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