MISS Mary Anastasia, LSW

NPI #1164146858 in Mahomet, Illinois

Provider Information

NPI Number
1164146858
Entity Type
Individual
Name
MISS Mary Anastasia, LSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LSW
Enumeration Date
Sep 27, 2022
Last Updated
Sep 27, 2022

Practice Location

Address
1204 E OAK ST STE 2-2
ZIP Code
61853-2795
Phone
(217) 530-5608

Specialties & Taxonomy Codes

Specialty
Social Worker

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