Individual
CHANCIE R PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 MORELAND BLVD, CHAMPAIGN, IL 61822-1398
(217) 398-8080
Mailing address
808 ROSELYN DR, RANTOUL, IL 61866-1661
(217) 791-1398
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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