Individual
CAITLIN DEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N 1ST ST, SUITE 225, SPRINGFIELD, IL 62702-3759
(217) 523-2217
(217) 788-4147
Mailing address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149018641
IL
Other
Enumeration date
06/03/2014
Last updated
10/12/2016
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