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Search › Illinois › Social Worker

Kanisha Wallace

NPI 1740541341 · on the registry since 2012 · sole proprietor

Practice

Address
401 W Springfield Ave
Champaign, IL 61820
Phone
(217) 398-8464
Organisation at this address
Rosecrance Inc
Community Elements, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
Social Worker
104100000X
Sex
Female
Record last updated
2012-05-31
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois