Individual
ELIVIA AHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5638
Mailing address
403 E 1ST ST, DIXON, IL 61021-3187
(815) 285-5638
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150106870
IL
1041C0700X
Clinical Social Worker
Primary
149.027050
IL
Other
Enumeration date
06/05/2019
Last updated
11/12/2024
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