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Individual

ASMITA SAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, MHP

Contact information

Practice address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
Mailing address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/27/2019
Last updated
08/27/2019
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