Intensive Out-Patient Care
Intensive Out-Patient Care provides Clinical Social Worker services in Edwardsville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
156 N Main St Ste 202Edwardsville, IL 62025-1972
Phone: (618) 656-7064
Fax: (618) 656-9084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X (IL) |
|---|
Record details
| NPI number | 1477685527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Manning — Program Director · (618) 656-7064 |
| NPI enumerated | March 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 156 N Main St, Suite 202, Edwardsville, IL 62025-1972 |
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