Individual
DR. CARLA SUE HONSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LDN, RD
Contact information
Practice address
11 E MAIN ST, CASEY, IL 62420-1612
(217) 254-0407
Mailing address
317 E 1700TH RD, CASEY, IL 62420-3028
(217) 254-0407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164000858
IL
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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