Rae Bardell LCSWM

NPI 1629025044 - Social Worker - 1041S0200X

NPI Details
NPI 1629025044
Gender Female
Enumeration Date 05/30/2006
Last Updated 05/30/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1011 LORAS DR STE C
FREEPORT IL, 61032-6900, US
Phone (815) 291-3887
Fax
Business Location
17768 W COFFMAN RD
SHANNON IL, 61078, US
Phone (815) 291-3887
Fax
Toxanomy
Taxonomy Code 1041S0200X
License State
License Number
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According to our database, Rae Bardell LCSWM NPI is 1629025044, taxonomy code is 1041S0200X Rae Bardell LCSWM physically located at 1011 Loras Dr Ste C, Freeport IL, 61032-6900. NPI Number Rae Bardell LCSWM has the Individual type.

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1629025044 NPI number is provided on an as is basis without warranty of any kind. 1629025044 is maintained by the National Plan & Provider Enumeration System. The contents of Rae Bardell LCSWM are for informational purposes only.