Maribeth J Boonstra
Maribeth J Boonstra is a Clinical Social Worker in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
328 N Neil St Ste CChampaign, IL 61820-3614
Phone: (217) 377-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149025264 (IL) |
|---|
Record details
| NPI number | 1912789611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 17, 2023 |
| Last updated in NPPES | October 17, 2023 |
| Certification date | October 17, 2023 |
| Mailing address | 691 Pheasant Run, Dixon, IL 61021-9688 |
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