Individual
KEVIN NATHANIEL CAUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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