Individual
MR. CASIMIR EDWARD PETKUNAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
(815) 432-5241
Mailing address
220 N ELM ST, MOMENCE, IL 60954-1138
(779) 240-2494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106675
IL
Other
Enumeration date
03/13/2022
Last updated
06/09/2022
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