Anastasia, Mary

Anastasia, Mary is an individual health care provider with primary practice located at 1204 E Oak St Ste 2-2 , Mahomet IL 61853-2795. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Anastasia, Mary can be contacted via phone (217) 530-5608.

Contact Information

Primary practice address
1204 E Oak St Ste 2-2 Mahomet IL 61853-2795
Phone: (217) 530-5608
Fax: (309) 981-8714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150108984 Illinois

Profile Details

NPI number 1164146858
LBN Legal business name Anastasia, Mary
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2022
Last updated Sep 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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