Individual
MRS. ALYSSA ANNE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1204 S 5TH ST, SUITE 1, SPRINGFIELD, IL 62703-2316
(217) 331-2433
Mailing address
1204 S 5TH ST, SUITE 1, SPRINGFIELD, IL 62703-2316
(217) 331-2433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014656
IL
Other
Enumeration date
06/09/2011
Last updated
07/05/2013
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