Individual
EVA G MARTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 693-4641
Mailing address
1401 BRIARCLIFF DR, URBANA, IL 61801-5307
(217) 549-2908
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2571554
IL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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