Individual
BARBARA TRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
(815) 432-5241
(815) 432-4537
Mailing address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149004420
IL
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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