Individual
AMANDA DIANNE CLIBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
495 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7295
(217) 904-3035
Mailing address
495 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7295
(217) 904-3035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.119265
IL
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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