Individual
MRS. EDA S. FLORES-MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-5312
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149013208
IL
104100000X
Social Worker
150.009670
IL
1041C0700X
Clinical Social Worker
Primary
149.013208
IL
1041C0700X
Clinical Social Worker
Primary
149013208
IL
Other
Enumeration date
05/21/2007
Last updated
05/14/2026
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