Individual
EMILY A SAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4540
(217) 784-4542
Mailing address
1120 N MELVIN ST # M, GIBSON CITY, IL 60936-1477
(217) 784-4540
(217) 784-4542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370647938
ILLINICARE
IL
Enumeration date
03/28/2012
Last updated
10/30/2020
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