Individual
EMILY BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
401 W JOHN ST, CHAMPAIGN, IL 61820-5840
(808) 594-9934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.029012
IL
Other
Enumeration date
10/12/2019
Last updated
04/15/2025
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