MARIBETH BOONSTRA
Social Worker - Clinical
Active
Individual
NPI: 1912789611
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149025264 (IL) |
Frequently Asked Questions
NPI 1912789611 is the National Provider Identifier for MARIBETH BOONSTRA, a Social Worker - Clinical provider located in Champaign, IL. This NPI was enumerated on October 17, 2023.
MARIBETH BOONSTRA practices at 328 N NEIL ST STE C, Champaign, IL 61820.
Quick Facts
- NPI
- 1912789611
- Type
- Individual
- Enumerated
- Oct 17, 2023
- Last Updated
- Oct 17, 2023
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