Organization
DYANN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DYANN K BOCKSTAHLER MSW LCSW (LICENSED CLINICAL SOCIAL WORKER PRE)
(708) 481-4098
Entity
Organization
Contact information
Practice address
3624 W 216TH STREET, MATTESON, IL 60443-2713
(708) 481-4080
(708) 481-7725
Mailing address
3624 W 216TH STREET, MATTESON, IL 60443-2713
(708) 481-4080
(708) 481-7725
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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