Individual
KIMBERLY BYCKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 N NEIL ST STE C, CHAMPAIGN, IL 61820-3614
(217) 377-0299
Mailing address
328 N NEIL ST STE C, CHAMPAIGN, IL 61820-3614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113289
IL
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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