Phelicia Puryear

NPI #1215336789 in Champaign, Illinois

Provider Information

NPI Number: 1215336789
Entity Type: Individual
Name: Phelicia Puryear
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 20, 2014
Last Updated: Aug 20, 2014

Practice Location

Address: 801 N WALNUT ST
City: Champaign
State: Illinois
ZIP Code: 61820-3055
Phone: (217) 398-8464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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