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Individual

CAROL ANN BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2705
(217) 244-1758
Mailing address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2705
(217) 244-1758

Taxonomy

Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
IL

Other

Enumeration date
11/30/2006
Last updated
07/08/2007
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