Individual
REBECCA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2659 COUNTY ROAD 350 E, MAHOMET, IL 61853-9797
(217) 372-4157
Mailing address
2659 COUNTY ROAD 350 E, MAHOMET, IL 61853-9797
(217) 372-4157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102880
IL
1041C0700X
Clinical Social Worker
150.102880
IL
Other
Enumeration date
12/13/2017
Last updated
07/20/2021
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