Individual
SHAMIKA CASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W WHITE ST, CHAMPAIGN, IL 61820-4805
(217) 359-5276
Mailing address
1705 W BLOOMINGTON RD APT 103L, CHAMPAIGN, IL 61821-0907
(217) 372-0514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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