Individual
DEBORAH L. SOMMERS-KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
128 S STATE ST, GENESEO, IL 61254-1348
(309) 945-7059
Mailing address
128 S STATE ST, GENESEO, IL 61254-1348
(309) 945-7059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149007153
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050629030
EMPLOYER IDENTIFICATIN NO
IL
01
—
149007153
STATE LICENSE NUMBER
IL
Enumeration date
12/04/2006
Last updated
07/09/2007
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