Individual
MS. DENISE R. EAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CEAP
Contact information
Practice address
135 N GREENLEAF ST, 200, GURNEE, IL 60031-3393
(847) 637-5239
(847) 637-5239
Mailing address
34159 N. HAINESVILLE ROAD, ROUND LAKE, IL 60073-9790
(847) 543-7778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149001691
IL
Other
Enumeration date
03/25/2009
Last updated
04/19/2010
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