Most Relevant Information
Provider Data
| NPI Number: | 1003219593 |
| Provider Name: | DEANDRA RANGEL |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2014 |
| Last Updated: | 10/23/2019 |
Provider Practice Location
612 N 11TH ST
QUINCY
IL
623012662
Practice Location Phone/Fax
| Phone: | 2172249484 |
| Fax: |
Provider Mailing Location
205 S 24TH ST
QUINCY
IL
623014446
Provider Mailing Phone/Fax
| Phone: | 2175920338 |
| Fax: |