Organization
FAMILY SERVICE OF CHAMPAIGN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J ANGLIN (CONTROLLER)
(217) 352-0099
Entity
Organization
Contact information
Practice address
405 S STATE ST, CHAMPAIGN, IL 61820-5129
(217) 352-0099
(217) 352-9512
Mailing address
405 S STATE ST, CHAMPAIGN, IL 61820-5129
(217) 352-0099
(217) 352-9512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
03/15/2019
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