Individual
EMMA LORIMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 W CLARK ST, CHAMPAIGN, IL 61820-4637
(217) 398-9066
(217) 398-9077
Mailing address
309 W CLARK ST, CHAMPAIGN, IL 61820-4637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.103950
IL
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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