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:
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Health care specialties

SpecialtyCodeLicense #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 12 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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