Individual
AFTHAN REENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 N 4TH ST, EFFINGHAM, IL 62401-3032
(217) 347-7179
Mailing address
1200 N 4TH ST, EFFINGHAM, IL 62401-3032
(217) 347-7179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017262
IL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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