Clinical Behavior Consultants | |
55 W 22nd St #305 Lombard IL 60148-4854 | |
(639) 424-9365 | |
(630) 424-9368 |
Full Name | Clinical Behavior Consultants |
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Speciality | Social Worker - Clinical |
Location | 55 W 22nd St, Lombard, Illinois |
Authorized Official Name and Position | Deloris Darlene Fisher (DIRECTOR/OWNER) |
Authorized Official Contact | 6304249365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinical Behavior Consultants 55 W 22nd St #305 Lombard IL 60148-4854 Ph: (639) 424-9365 | Clinical Behavior Consultants 55 W 22nd St #305 Lombard IL 60148-4854 Ph: (639) 424-9365 |
NPI Number | 1457656472 |
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Provider Enumeration Date | 01/23/2011 |
Last Update Date | 01/23/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457656472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149004311 (Illinois) | Primary |
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