Jared Warmouth

NPI #1013288802 in Champaign, Illinois

Provider Information

NPI Number: 1013288802
Entity Type: Individual
Name: Jared Warmouth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 401 W SPRINGFIELD AVE
City: Champaign
State: Illinois
ZIP Code: 61820-4716
Phone: (217) 398-8464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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