Individual
ELANA RUTH FLOYD-KENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1007 ROUTE 45, ELDORADO, IL 62930
(618) 273-7723
(618) 273-3384
Mailing address
3920 DEVILS FORK RD, CARBONDALE, IL 62902-0504
(618) 549-7741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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