Individual
MS. CASSANDRA B WOOLFOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1315 CURT DR STE A, CHAMPAIGN, IL 61821-1168
(217) 359-3809
Mailing address
1511 W WHITE ST, CHAMPAIGN, IL 61821-3112
(217) 359-3809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-004091
IL
Other
Enumeration date
04/03/2007
Last updated
08/12/2011
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