Individual
DR. ANN WYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2705
Mailing address
706 S COLER AVE, #1, URBANA, IL 61801-4061
(217) 384-5535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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