Individual
ALYSSANDRA NICOLE BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(888) 924-3786
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(888) 924-3786
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115538
IL
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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