ELSIE FAROUGH

CARBONDALE, IL
NPI1790253268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.018982)
Enumeration Date2018-11-02
Last Update Date2018-11-02
Business Address
ELSIE FAROUGH
2311 S ILLINOIS AVE
CARBONDALE, IL 62903-5912
Phone number: 618-457-6703
Mailing Address
ELSIE FAROUGH
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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