Individual
AMY BETH HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
(217) 398-0172
Mailing address
918 S LYNN ST, CHAMPAIGN, IL 61820-6315
(217) 398-8080
(217) 398-0172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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