Individual
ANDREA TERESE RULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 W SAND BANK RD STE 14, COLUMBIA, IL 62236-1044
(618) 920-9877
Mailing address
5835 BOHLEYSVILLE RD, MILLSTADT, IL 62260-2323
(618) 920-9877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019820
IL
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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