Individual
MS. EILEEN MARY MATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
306 W GREEN ST, URBANA, IL 61801-3222
(217) 621-3014
Mailing address
2408 N NOTTINGHAM CT, CHAMPAIGN, IL 61821-7017
(217) 621-3014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
10/21/2014
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