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Individual

CHANITA RENEE LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8 EXECUTIVE DR STE 200, FAIRVIEW HTS, IL 62208-1350
(618) 688-4727
Mailing address
2745 CEDAR GROVE DR, BELLEVILLE, IL 62221-7411
(618) 604-0488

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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