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Organization
SOLUTIONS4WELLNESS, INC.
Active
Organization
SOLUTIONS4WELLNESS, INC.
Active
Other names
Christina R. Diesen, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA R DIESEN LCSW (OWNER)
(618) 322-6424
Entity
Organization
Contact information
Practice address
110 N MAIN ST, BREESE, IL 62230-1630
(618) 322-6424
(618) 227-8227
Mailing address
110 N MAIN ST, BREESE, IL 62230-1630
(618) 322-6424
(618) 227-8227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-010456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326161969
NPI 1
IL
Enumeration date
02/14/2017
Last updated
10/07/2020
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