| NPI | 1255571402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SUE BECKER PHILLIPS Managing Member 618-741-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 002882) |
| 1041C0700X Social Worker, Clinical (Licence: IL wp32261106P) | |
| 1041S0200X Social Worker, School (Licence: IL 1621340) | |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2009-03-01 |