Individual
MEGAN MARIE KWASNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1327 N LINCOLN AVE, 1012, URBANA, IL 61801-1663
(309) 530-1063
Mailing address
1327 N LINCOLN AVE, 1012, URBANA, IL 61801-1663
(309) 530-1063
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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