Individual
MR. DONALD J BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
11305 GERMAN CHURCH RD, WILLOW SPRINGS, IL 60480-1013
(630) 408-4018
(708) 839-9754
Mailing address
11305 GERMAN CHURCH RD, WILLOW SPRINGS, IL 60480-1013
(630) 408-4018
(708) 839-9754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-002337
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-002337
STATE LICENSE NUMBER
IL
Enumeration date
02/01/2007
Last updated
05/09/2023
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