Jill Suzanne Corder, LCSW
Social Worker, Clinical in Troy, IL. Individual provider (NPI-1).
NPI number1447464367
StatusActive
Last updated in NPPESMay 23, 2013
Details
- NPI
- 1447464367
- Entity type
- Individual (NPI-1)
- Name
- Jill Suzanne Corder
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2007
- Last updated
- May 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149015951 | IL | Yes |
| 104100000X | Social Worker | 150.010688 | IL |
Practice location
8608 Blackjack Hollows LnTroy, IL 62294-2550
Phone 618-973-7139 · Fax 800-856-4246
Mailing address
8608 Blackjack Hollows LnTroy, IL 62294-2550
Phone 618-973-7139 · Fax 800-856-4246
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