Individual
MRS. EVIE MARIE ROSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
(618) 925-1740
Mailing address
PO BOX 6, FREEMAN SPUR, IL 62841-0006
(618) 925-1740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020145
IL
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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