Individual
MRS. ROSE ANN QUARESIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
835 SOUTH FOURTH STREET, DEKALB, IL 60115
(815) 787-2566
(815) 758-1430
Mailing address
835 SOUTH FOURTH STREET, DEKALB, IL 60115
(815) 787-2566
(815) 758-1430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01923314
BLUE CROSS & BLUE SHIELD
—
Enumeration date
11/22/2006
Last updated
07/08/2007
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