Individual
MS. ELIZABETH ANN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW,MSW, LSW
Contact information
Practice address
1222 E VOORHEES ST, DANVILLE, IL 61834-6249
(217) 693-4535
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150105391
IL
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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