CHARLES RUSSELL KERWIN

DECATUR, IL
NPI1063706497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149.014464)
Enumeration Date2011-06-02
Last Update Date2011-06-02
Business Address
MR. CHARLES RUSSELL KERWIN LCSW, CADC
1770 ELAKE SHORE DR
DECATUR, IL 62521-3832
Phone number: 217-428-1900
Mailing Address
MR. CHARLES RUSSELL KERWIN LCSW, CADC
1770 EAST LAKE SHORE DR
DECATUR, IL 62521
Phone number: 217-428-1900
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