Individual
BETH WEINBERG-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 N KNOXVILLE AVE, PEORIA, IL 61603-2414
(309) 687-7972
(309) 687-7999
Mailing address
2011 N KNOXVILLE AVE, PEORIA, IL 61603-2414
(309) 687-7972
(309) 687-7999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-004534
IL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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