| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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