| Patricia Lallish Lcsw | |
|
24 Trailridge Ln Glen Carbon IL 62034-1834 | |
| (618) 780-5256 | |
| Not Available |
| Full Name | Patricia Lallish Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24 Trailridge Ln, Glen Carbon, Illinois |
| Authorized Official Name and Position | Patricia L Lallish (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6187805256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Lallish Lcsw 24 Trailridge Ln Glen Carbon IL 62034-1834 Ph: (618) 780-5256 | Patricia Lallish Lcsw 24 Trailridge Ln Glen Carbon IL 62034-1834 Ph: (618) 780-5256 |
| NPI Number | 1083072227 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083072227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.016663 (Illinois) | Primary |
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