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Individual

MR. JAMES A. WARREN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
(217) 365-2856
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149013842
IL
104100000X
Social Worker

Other

Enumeration date
09/28/2007
Last updated
01/29/2021
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