Coaching With Dr Alicia, Llc | |
25318 W Glen Oaks Ln Shorewood IL 60404-9331 | |
(815) 715-4464 | |
Not Available |
Full Name | Coaching With Dr Alicia, Llc |
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Speciality | Social Worker - Clinical |
Location | 25318 W Glen Oaks Ln, Shorewood, Illinois |
Authorized Official Name and Position | Alicia N Watkins (OWNER) |
Authorized Official Contact | 8157154464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coaching With Dr Alicia, Llc 25318 W Glen Oaks Ln Shorewood IL 60404-9331 Ph: (815) 715-4464 | Coaching With Dr Alicia, Llc 25318 W Glen Oaks Ln Shorewood IL 60404-9331 Ph: (815) 715-4464 |
NPI Number | 1720827520 |
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Provider Enumeration Date | 05/21/2024 |
Last Update Date | 05/21/2024 |
Certification Date | 10/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720827520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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