Womens Wellness And Family Counseling | |
276 Southwoods Ctr Suite A Columbia IL 62236-2462 | |
(618) 281-9355 | |
(618) 281-4641 |
Full Name | Womens Wellness And Family Counseling |
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Speciality | Social Worker |
Location | 276 Southwoods Ctr, Columbia, Illinois |
Authorized Official Name and Position | Lori A Grabe (OWNER) |
Authorized Official Contact | 6182819355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Womens Wellness And Family Counseling 276 Southwoods Ctr Suite A Columbia IL 62236-2462 Ph: (618) 281-9355 | Womens Wellness And Family Counseling 276 Southwoods Ctr Suite A Columbia IL 62236-2462 Ph: (618) 281-9355 |
NPI Number | 1205928942 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 03/18/2009 |
Medicare PECOS PAC ID | 6406853399 |
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Medicare Enrollment ID | O20061108000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205928942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149011846 (Illinois) | Primary |
Provider Name | Lori A Grabe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295757672 PECOS PAC ID: 6305843293 Enrollment ID: I20061108000038 |
Provider Name | Erin M Frailey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952619272 PECOS PAC ID: 4486802022 Enrollment ID: I20120924000479 |
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