Individual
MS. DEBORAH FOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
715 LAKE STREET, SUITE 515, OAK PARK, IL 60301
(708) 848-2631
Mailing address
715 LAKE STREET, SUITE 515, OAK PARK, IL 60301
(708) 848-2631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149007092
IL
Other
Enumeration date
12/02/2005
Last updated
05/08/2013
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