Individual
MRS. BRENDA K WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
506 N DOUGLAS ST, VILLA GROVE, IL 61956-1031
(352) 223-2689
(352) 343-8831
Mailing address
1025 AMANDA CT, ARTHUR, IL 61911
(217) 543-3014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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