Individual
ERIC S TIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
955 SINGING HILLS DR, VOLO, IL 60073-8207
(224) 636-3742
Mailing address
955 SINGING HILLS DR, VOLO, IL 60073-8207
(224) 636-3742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013959
IL
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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