Beth Weinberg-Gordon
Social Worker, Clinical in Peoria, IL. Individual provider (NPI-1).
NPI number1124457510
StatusActive
Last updated in NPPESNov 5, 2013
Details
- NPI
- 1124457510
- Entity type
- Individual (NPI-1)
- Name
- Beth Weinberg-Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2013
- Last updated
- Nov 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149-004534 | IL | Yes |
Practice location
2011 N Knoxville AvePeoria, IL 61603-2414
Phone 309-687-7972 · Fax 309-687-7999
Mailing address
2011 N Knoxville AvePeoria, IL 61603-2414
Phone 309-687-7972 · Fax 309-687-7999
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