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Clinical Social Worker

NPI: 1033627526IndividualAccepts Medicare

Specialties, Licenses & Credentials

Social Worker

Code: 104100000X

149.015884(IL)

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

149015884(IL)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2009

Contact & Hours

Address: 816 FEATHERSTONE RD
ROCKFORD, IL 61107
Phone: (815) 227-0081

Quick Facts

NPI: 1033627526
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 17

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