Individual
ELIZABETH HENSOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 N SHERIDAN RD, PEORIA, IL 61604-3457
(309) 679-6601
Mailing address
2116 N SHERIDAN RD, PEORIA, IL 61604-3457
(309) 679-6601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023970
IL
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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