Organization
CJ DZIUBAN, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHESTER JOSEPH DZIUBAN LCSW (OWNER)
(815) 529-6874
Entity
Organization
Contact information
Practice address
421 N WATER ST, WILMINGTON, IL 60481-1188
(815) 529-6874
Mailing address
1801 ROBERTS ST, WILMINGTON, IL 60481-1730
(815) 529-6874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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