Individual
FRANDY SUZANNE RASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8600 ROUTE 91 NORTH, SUITE 240, PEORIA, IL 61615-9506
(309) 683-5006
(309) 683-5095
Mailing address
8600 ROUTE 91 NORTH, SUITE 240, PEORIA, IL 61615-9506
(309) 683-5006
(309) 683-5095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006178
IL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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