Individual
CHRISTINE SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6919 N KNOXVILLE AVE STE 100 AND 202, PEORIA, IL 61614
(309) 966-0068
Mailing address
5102 N GLEN ELM DR, PEORIA HEIGHTS, IL 61616-5128
(309) 613-1366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021177
IL
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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