Individual
CATHLEEN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW-M, QMHP
Contact information
Practice address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.013551
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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