Individual
BARBARA RACHAEL KAMMRATH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
811 OAKLAND AVE APT 204, URBANA, IL 61802-1955
(217) 766-2965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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