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Individual

KASSIDI RAE FRANZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4576
Mailing address
702 BARDEEN LN, CHAMPAIGN, IL 61822-1058
(217) 714-7829

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105160
IL

Other

Enumeration date
07/02/2021
Last updated
07/02/2021
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