Individual
MS. BENITA ANN GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED.
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 693-4548
Mailing address
1205 W DUBLIN ST, URBANA, IL 61801-1424
(217) 766-7561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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