Individual
MRS. JACLYN ELAINE ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2705
Mailing address
604 W JOHN ST, APARTMENT 1, CHAMPAIGN, IL 61820-5812
(217) 840-8319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.011456
IL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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