ANN CAROL RUSSELL

CHAMPAIGN, IL
NPI1689845620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IL  149008848)
Enumeration Date2008-03-18
Last Update Date2008-03-18
Business Address
Ms. ANN CAROL RUSSELL LCSW
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
Mailing Address
Ms. ANN CAROL RUSSELL LCSW
2905 NORTH MAIN STREET
DECATUR, IL 62526
Phone number: 217-877-9117