Individual
MR. JOE ROBERSON MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1725 187TH ST, HOMEWOOD, IL 60430-3853
(708) 906-8816
(708) 922-0907
Mailing address
1725 187TH ST, HOMEWOOD, IL 60430-3853
(708) 906-8816
(708) 922-0907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-002029
IL
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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