Individual
ABBEY GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
214 S GARRARD ST, RANTOUL, IL 61866-2317
(217) 621-1678
Mailing address
524 NEIPSWAH AVE, RANTOUL, IL 61866-1462
(217) 621-1678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.012952
IL
1041C0700X
Clinical Social Worker
Primary
149.021739
IL
Other
Enumeration date
08/12/2012
Last updated
02/03/2022
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