Individual
ANNA LAVENDER WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SAINT MARYS DR APT 3A, HARRISBURG, IL 62946-3494
(618) 638-8668
Mailing address
100 SAINT MARYS DR APT 3A, HARRISBURG, IL 62946-3494
(618) 638-8668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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