Individual
MS. KATHERINE LURENE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2110 CLEARLAKE BLVD, SUITE 202, CHAMPAIGN, IL 61822-8931
(800) 292-3399
(217) 365-9875
Mailing address
2110 CLEARLAKE BLVD, SUITE 202, CHAMPAIGN, IL 61822-8931
(800) 292-3399
(217) 365-9875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.013960
IL
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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