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Individual

ELIZABETH MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648
(217) 854-3166
(217) 854-3778
Mailing address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018389
IL

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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