| Growing Edge Inc | |
|
1401 Regency Dr E Suite #2 Savoy IL 61874-9312 | |
| (217) 493-8045 | |
| (217) 244-8961 |
| Full Name | Growing Edge Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1401 Regency Dr E, Savoy, Illinois |
| Authorized Official Name and Position | Karen Gail Wolfson (PRESIDENT) |
| Authorized Official Contact | 2174938045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Edge Inc Po Box 2713 Champaign IL 61825-2713 Ph: (217) 493-8045 | Growing Edge Inc 1401 Regency Dr E Suite #2 Savoy IL 61874-9312 Ph: (217) 493-8045 |
| NPI Number | 1407081474 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407081474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.002896 (Illinois) | Primary |
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