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Organization
HELEN WOODRUM LCSW PLLC
Active
Organization
HELEN WOODRUM LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN R WOODRUM LCSW (OWNER, THERAPIST)
(815) 277-1049
Entity
Organization
Contact information
Practice address
114 E EVERETT ST STE 208, DIXON, IL 61021-2140
(815) 994-6400
Mailing address
114 E EVERETT ST STE 208, DIXON, IL 61021-2140
(815) 994-6400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12588016
CAQH
IL
01
—
149015750
IL DEPT. FINANCIAL AND PROF. REGULATION
IL
Enumeration date
08/31/2021
Last updated
08/31/2021
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