Individual
ANITA M CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1315A CURT DR, CHAMPAIGN, IL 61821-1119
(217) 352-5179
Mailing address
2014 W WILLIAM ST, CHAMPAIGN, IL 61821-4223
(815) 739-0194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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