Organization
CRIMSON LEADERSHIP GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSETTE HEREDIA-CARMONA L.C.S.W (PRESIDENT/CEO)
(630) 248-9272
Entity
Organization
Contact information
Practice address
3339 HIGHLAND AVE, BERWYN, IL 60402-3817
(630) 248-9272
Mailing address
3339 HIGHLAND AVE, APT/SUITE, BERWYN, IL 60402-3817
(630) 248-9272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010344
IL
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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