NPI | 1093201444 |
---|---|
Entity Type | Organization |
Authorized Contact | KARI LEE STEARNS-LAMB Owner/Provider 309-781-4053 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 078821) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019131) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2018-07-09 |