| Deborah Miller-lunsford, Lcsw, Pc | |
|
127 S 1st St Ste 206 Geneva IL 60134-2644 | |
| (630) 726-4963 | |
| Not Available |
| Full Name | Deborah Miller-lunsford, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 127 S 1st St Ste 206, Geneva, Illinois |
| Authorized Official Name and Position | Deborah Miller-lunsford (BUSINESS OWNER) |
| Authorized Official Contact | 6307264963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Miller-lunsford, Lcsw, Pc 520 S East Ave Oak Park IL 60304-1322 Ph: (630) 726-4963 | Deborah Miller-lunsford, Lcsw, Pc 127 S 1st St Ste 206 Geneva IL 60134-2644 Ph: (630) 726-4963 |
| NPI Number | 1164014221 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/06/2021 |
| Medicare PECOS PAC ID | 1254747637 |
|---|---|
| Medicare Enrollment ID | O20210309003289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164014221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah M Miller-lunsford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568509412 PECOS PAC ID: 7113154402 Enrollment ID: I20131211002038 |
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