Individual
DEEPAK SANTHIRAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1616 E ROOSEVELT RD STE 8, WHEATON, IL 60187-6850
(630) 588-1201
Mailing address
29W 447 BUTTERNUT LANE, WARRENVILLE, IL 60555
(630) 696-7533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014987
IL
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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