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Individual

ERIN LEIGH MCCOMBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1101 LAKE ST STE 201, OAK PARK, IL 60301-1046
(708) 257-2838
Mailing address
1101 LAKE ST STE 201, OAK PARK, IL 60301-1046
(708) 257-2838

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-010022
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1633662
BLUE CROSS PROVIDER #
IL
Enumeration date
12/29/2006
Last updated
02/29/2016
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