Debose, Tracy L

Debose, Tracy L is an individual health care provider with primary practice located at 10537 S Roberts Rd , Palos Hills IL 60465-1933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Debose, Tracy L can be contacted via phone (708) 974-2300.

Contact Information

Primary practice address
10537 S Roberts Rd Palos Hills IL 60465-1933
Phone: (708) 974-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149010913 Illinois

Profile Details

NPI number 1194020321
LBN Legal business name Debose, Tracy L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2011
Last updated Jan 19th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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