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Organization
TS ONSITE MENTAL HEALTH
Active
Organization
TS ONSITE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACIE CARR MSW, LCSW (VICE PRESIDENT)
(618) 335-7364
Entity
Organization
Contact information
Practice address
14376 ALLEN RD, HERRIN, IL 62948-6447
(618) 889-0901
Mailing address
14376 ALLEN RD, HERRIN, IL 62948-6447
(618) 889-0901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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