CONSTRUCTIVE CHANGES LICENSED CLINICAL SOCIAL WORKER SERVICES

CHAMPAIGN, IL
NPI1417630757
Entity TypeOrganization
Authorized ContactALEX QUINTANILLA
Owner
217-615-0350
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2023-08-14
Last Update Date2023-08-14
Business Address
CONSTRUCTIVE CHANGES LICENSED CLINICAL SOCIAL WORKER SERVICES
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820-3649
Phone number: 217-615-0350
Mailing Address
CONSTRUCTIVE CHANGES LICENSED CLINICAL SOCIAL WORKER SERVICES
1717 W KIRBY AVE UNIT 306
CHAMPAIGN, IL 61821-5507
Phone number: 217-615-0350
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