THERESA MAI DITCHFIELD

MATTOON, IL
NPI1174572333
Former NameTHERESA DITCHFIELD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C005169)
Enumeration Date2006-05-08
Last Update Date2011-01-12
Business Address
-- THERESA MAI DITCHFIELD LCSW
717 N 21ST ST
MATTOON, IL 61938-2705
Phone number: 910-987-9296
Mailing Address
-- THERESA MAI DITCHFIELD LCSW
717 N 21ST ST
MATTOON, IL 61938-2705
Phone number: 910-987-9296
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