Individual
AUSHINETT PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 355-1697
Mailing address
1008 S SMITH RD APT 22, URBANA, IL 61802-4587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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