Individual provider · Type 1 NPI
Amy Elizabeth Prudencio, LCSW
School Social Worker · Carbondale, IL
NPI number
1295244242
Active
Practice location
1301 E. Walnut Street
Carbondale, IL 62901
Fax (618) 549-1608
Mailing address
1301 E Walnut St
Carbondale, IL 62901-5004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 149014863 (IL) |
School Social Worker: Definition to come...
Other school social worker providers in Carbondale
About NPI 1295244242
Amy Elizabeth Prudencio, LCSW's National Provider Identifier is 1295244242, issued on Sep 21, 2017. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Carbondale, IL. The record was last updated on Jul 21, 2022.