Individual
LORRAINE WORMELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW,CADC,MISA
Contact information
Practice address
3743 168TH ST, COUNTRY CLUB HILLS, IL 60478-2155
(308) 362-7313
Mailing address
3743 168TH ST, COUNTRY CLUB HILLS, IL 60478-2155
(308) 362-7313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21570
IL
101YM0800X
Mental Health Counselor
21570
IL
104100000X
Social Worker
Primary
150.011665
IL
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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