Individual
MR. ANTHONY MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2110 CLEARLAKE BLVD STE 202, CHAMPAIGN, IL 61822-8933
(217) 356-9922
(217) 356-9875
Mailing address
2110 CLEARLAKE BLVD STE 202, CHAMPAIGN, IL 61822-8933
(217) 356-9922
(217) 356-9875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011621
IL
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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