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Individual

REBECCA STRAUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(630) 981-4329
Mailing address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/15/2011
Last updated
12/19/2018
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  • EDI platform