Individual
MS. BARBARA SWANSON HODUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2617 N VILLA WOOD LANE, PEORIA, IL 61614
(309) 693-8200
Mailing address
2617 N VILLA WOOD LANE, PEORIA, IL 61614
(309) 693-8200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-005588
IL
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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