Individual
ANNA M MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 E OAK ST, MAHOMET, IL 61853-9258
(217) 402-7817
Mailing address
1717 W KIRBY AVE # 407, CHAMPAIGN, IL 61821-5507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017944
IL
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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