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Individual

MISS MARIA F HUANCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 398-8080
Mailing address
450 E FAIRLAWN DR, URBANA, IL 61801-5144
(217) 390-9897

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/07/2010
Last updated
10/07/2010
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