| Miller Twp C.c. School #210 | |
|
3197 E 28th Rd Marseilles IL 61341-9567 | |
| (815) 357-8151 | |
| Not Available |
| Full Name | Miller Twp C.c. School #210 |
|---|---|
| Speciality | Social Worker - School |
| Location | 3197 E 28th Rd, Marseilles, Illinois |
| Authorized Official Name and Position | Deborah Brom (BOOKKEEPER) |
| Authorized Official Contact | 8153578151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Twp C.c. School #210 3197 E 28th Rd Marseilles IL 61341-9567 Ph: (815) 357-8151 | Miller Twp C.c. School #210 3197 E 28th Rd Marseilles IL 61341-9567 Ph: (815) 357-8151 |
| NPI Number | 1225207921 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225207921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | 02262008986443 (Illinois) | Primary |
| 235Z00000X | Speech-language Pathologist | 1600814 (Illinois) | Secondary |
Clear Minds Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2785 E 2625th Rd, Marseilles, IL 61341 Phone: 815-560-7132 |