Individual
CASSIDY JORDAN PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1624 CARLYLE AVE # 530, BELLEVILLE, IL 62221-4558
(618) 577-0715
Mailing address
1624 CARLYLE AVE # 530, BELLEVILLE, IL 62221-4558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020739
IL
Other
Enumeration date
05/16/2017
Last updated
05/16/2020
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