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Organization
LIVE WELL COUNSELING
Active
Organization
LIVE WELL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASPASIA PALIOS LCSW (CLINICAL SOCIAL WORKER)
(815) 603-2626
Entity
Organization
Contact information
Practice address
47 6TH AVE, SUITE: H2, LA GRANGE, IL 60525-2499
(708) 639-4030
(708) 639-4030
Mailing address
47 S. 6TH AVENUE, SUITE: H2, LAGRANGE, IL 60525-5635
(708) 639-4030
(708) 639-4030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015121
IL
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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