Individual
DEBORA RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
505 CANARY LN, CARTERVILLE, IL 62918-1647
(618) 499-0651
Mailing address
505 CANARY LN, CARTERVILLE, IL 62918-1647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014335
IL
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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