Individual
DEANNA RUTH CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 CHITTYVILLE RD, HERRIN, IL 62948-3552
(618) 727-5190
Mailing address
657 US ROUTE 51, DU QUOIN, IL 62832-4200
(815) 582-6858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.109965
IL
1041C0700X
Clinical Social Worker
Primary
149.030148
IL
Other
Enumeration date
04/07/2025
Last updated
02/04/2026
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