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Organization
HOPE BEHAVIOR PRACTICE
Active
Organization
HOPE BEHAVIOR PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY R DAVIS MSW, LCSW (PSYCHOTHERAPIST/CLINICAL SW)
(630) 863-0408
Entity
Organization
Contact information
Practice address
801 N LARKIN AVE, JOLIET, IL 60435-3441
(630) 863-0408
Mailing address
215 BROOKWOOD LN E, BOLINGBROOK, IL 60440-5517
(630) 863-0408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019648
IL
1041S0200X
School Social Worker
—
IL
Other
Enumeration date
01/02/2018
Last updated
01/06/2018
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