Individual
ERICA LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 W HAYES AVE, CHARLESTON, IL 61920-3111
(815) 587-5370
Mailing address
1021 W HAYES AVE, CHARLESTON, IL 61920-3111
(815) 587-5370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016713
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149016713
IDFPR
IL
Enumeration date
07/17/2020
Last updated
07/17/2020
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