Organization
CLINICAL BEHAVIOR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORIS DARLENE FISHER MSW LCSW (DIRECTOR/OWNER)
(630) 424-9365
Entity
Organization
Contact information
Practice address
55 W 22ND ST, #305, LOMBARD, IL 60148-4854
(639) 424-9365
(630) 424-9368
Mailing address
55 W 22ND ST, #305, LOMBARD, IL 60148-4854
(639) 424-9365
(630) 424-9368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149004311
IL
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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