| A Promise For Parents | |
|
810 S 4th St Dekalb IL 60115-4410 | |
| (815) 758-1358 | |
| (815) 758-1580 |
| Full Name | A Promise For Parents |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 810 S 4th St, Dekalb, Illinois |
| Authorized Official Name and Position | Denice Marie Mock (DIRECTOR/OWNER) |
| Authorized Official Contact | 8157581358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Promise For Parents 810 S 4th St Dekalb IL 60115-4410 Ph: (815) 758-1358 | A Promise For Parents 810 S 4th St Dekalb IL 60115-4410 Ph: (815) 758-1358 |
| NPI Number | 1639623044 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639623044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149013457 (Illinois) | Primary |
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