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Individual

MRS. TERESA ANN MORONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
(217) 398-0172
Mailing address
4607 COPPER RIDGE RD, CHAMPAIGN, IL 61822-9719
(217) 359-8131

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
06/13/2007
Last updated
07/08/2007
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