Provider Demographics
NPI:1528393022
Name:RAWLINGS, SOPHIA ELIZABETH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SOPHIA
Middle Name:ELIZABETH
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 NASSAU DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62062-5618
Mailing Address - Country:US
Mailing Address - Phone:618-567-8165
Mailing Address - Fax:618-288-1860
Practice Address - Street 1:10 NASSAU DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062-5618
Practice Address - Country:US
Practice Address - Phone:618-567-8165
Practice Address - Fax:618-288-1860
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist