NPI | 1891187514 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA K OLSON Licensed Clinical Social Worker 815-871-0957 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149004808) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2015-03-04 |