Midway Mediation & Coaching Services, Llc | |
610 Crystal Point Dr Suite 3 Crystal Lake IL 60014-1401 | |
(847) 852-0499 | |
(815) 477-2287 |
Full Name | Midway Mediation & Coaching Services, Llc |
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Speciality | Social Worker - Clinical |
Location | 610 Crystal Point Dr, Crystal Lake, Illinois |
Authorized Official Name and Position | Michelle A. Green (OWNER) |
Authorized Official Contact | 8478520499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midway Mediation & Coaching Services, Llc 1160 Starwood Pass Lake In The Hills IL 60156-4890 Ph: (847) 852-0499 | Midway Mediation & Coaching Services, Llc 610 Crystal Point Dr Suite 3 Crystal Lake IL 60014-1401 Ph: (847) 852-0499 |
NPI Number | 1679907463 |
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Provider Enumeration Date | 08/28/2013 |
Last Update Date | 08/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679907463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149011403 (Illinois) | Primary |
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