Individual
MRS. AUDREY DAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., C.A.D.C.
Contact information
Practice address
3809 MAGNOLIA DR, SPRING GROVE, IL 60081-8631
(612) 741-1178
Mailing address
3809 MAGNOLIA DR, SPRING GROVE, IL 60081-8631
(612) 741-1178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020182
IL
Other
Enumeration date
02/25/2015
Last updated
09/10/2021
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