Organization
FAMILY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY SUE BECKER PHILLIPS LCSW (MANAGING MEMBER)
(618) 741-4123
Entity
Organization
Contact information
Practice address
909 N SMILEY ST, O FALLON, IL 62269-1231
(618) 741-4123
Mailing address
PO BOX 122, O FALLON, IL 62269-0122
(618) 741-4123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
002882
MO
1041C0700X
Clinical Social Worker
Primary
149006943
IL
1041C0700X
Clinical Social Worker
WP32261106P
IL
1041S0200X
School Social Worker
1621340
IL
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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