Individual
NINA JANE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4365
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150012914
IL
Other
Enumeration date
07/13/2011
Last updated
01/07/2019
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