Jada Raine Heck

NPI #1073153797 in Champaign, Illinois

Provider Information

NPI Number: 1073153797
Entity Type: Individual
Name: Jada Raine Heck
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 10, 2020
Last Updated: Jan 10, 2020

Practice Location

Address: 2302 MORELAND BLVD
City: Champaign
State: Illinois
ZIP Code: 61822-1398
Phone: (217) 398-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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