Individual
DEBRA CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 W BOUGHTON RD STE B, BOLINGBROOK, IL 60440-1898
(630) 685-4053
(630) 596-1478
Mailing address
22736 REDWOOD DR, RICHTON PARK, IL 60471-2331
(708) 747-5415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.108607
IL
104100000X
Social Worker
150.108607
IL
Other
Enumeration date
12/28/2022
Last updated
12/30/2022
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