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Organization
ILLINOIS VALLEY COUNSELING SERVICES
Active
Organization
ILLINOIS VALLEY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN W SLAGLE LCSW (OWNER)
(815) 993-1614
Entity
Organization
Contact information
Practice address
807 LASALLE ST, OTTAWA, IL 61350-9144
(815) 993-1614
Mailing address
1220 TOWER DR, OTTAWA, IL 61350-9144
(815) 993-1614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013269
IL
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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