O'Dea, Nicole Suzanne
O'Dea, Nicole Suzanne is an sole proprietor health care provider with primary practice located at 2028 N Seminary Ave , Woodstock IL 60098-2626. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Dea, Nicole Suzanne can be contacted via phone (815) 338-3590.Contact Information
Primary practice address
2028 N Seminary Ave
Woodstock IL 60098-2626
Phone: (815) 338-3590
Fax: (815) 337-4406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149014688 | Illinois |
Profile Details
| NPI number | 1992956619 |
|---|---|
| LBN Legal business name | O'Dea, Nicole Suzanne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Feb 6th, 2013 - about 11 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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