Jeffrey Brian Devries, L.C.S.W.
Social Worker, Clinical in Mokena, IL. Individual provider (NPI-1).
NPI number1376655464
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376655464
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Brian Devries
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149-004568 | IL | Yes |
Practice location
19646 Wolf RdMokena, IL 60448-1333
Phone 708-478-1933 · Fax 708-478-3089
Mailing address
19646 Wolf RdMokena, IL 60448-1333
Phone 708-478-1933 · Fax 708-478-3089
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