Individual
ROSE KORMANYOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 373-2420
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 373-2420
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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