Tana M Fedewa MSWLL

NPI 1982899977 - Social Worker - 104100000X

NPI Details
NPI 1982899977
Gender Female
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1801 FOX DR
CHAMPAIGN IL, 61820-7236, US
Phone (217) 398-8080
Fax (217) 398-0172
Business Location
1801 FOX DR
CHAMPAIGN IL, 61820-7236, US
Phone (217) 398-8080
Fax (217) 398-0172
Toxanomy
Taxonomy Code 104100000X
License State Michigan
License Number 6801087044
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According to our database, Tana M Fedewa MSWLL NPI is 1982899977, taxonomy code is 104100000X and license number is 6801087044, license state is located at Michigan. Tana M Fedewa MSWLL physically located at 1801 Fox Dr, Champaign IL, 61820-7236. NPI Number Tana M Fedewa MSWLL has the Individual type.

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1982899977 NPI number is provided on an as is basis without warranty of any kind. 1982899977 is maintained by the National Plan & Provider Enumeration System. The contents of Tana M Fedewa MSWLL are for informational purposes only.