Courtney Street, BSW

NPI #1043652126 in Champaign, Illinois

Provider Information

NPI Number
1043652126
Entity Type
Individual
Name
Courtney Street, BSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
BSW
Enumeration Date
Jul 18, 2013
Last Updated
Jul 18, 2013

Practice Location

Address
202 W PARK AVE
ZIP Code
61820-3929
Phone
(217) 693-4613

Specialties & Taxonomy Codes

Specialty
Counselor

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