Individual
MRS. DEBRA PARKER HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
118 WESTHAVEN SCHOOL RD, BELLEVILLE, IL 62220-3264
(618) 257-9201
(618) 257-9310
Mailing address
118 WESTHAVEN SCHOOL RD, BELLEVILLE, IL 62220-3264
(618) 257-9201
(618) 257-9310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467590166
—
IL
Enumeration date
05/09/2018
Last updated
06/16/2018
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