AMY ELIZABETH PRUDENCIO

CARBONDALE, IL
NPI1295244242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
(Licence: IL  149014863)
Enumeration Date2017-09-21
Last Update Date2022-07-21
Business Address
AMY ELIZABETH PRUDENCIO LCSW
1301 E. WALNUT STREET
CARBONDALE, IL 62901
Phone number: 618-457-3371
Mailing Address
AMY ELIZABETH PRUDENCIO LCSW
1301 E WALNUT ST
CARBONDALE, IL 62901-5004
Phone number: 618-457-3371
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