Nigel Christopher Thibodeaux, lcsw
Social Worker, Clinical in Evanston, IL. Individual provider (NPI-1).
NPI number1750436655
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1750436655
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nigel Christopher Thibodeaux
- Credential
- lcsw
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2007
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149011925 | IL | Yes |
Practice location
708 Church StRm 258
Evanston, IL 60201-3875
Phone 224-392-1731
Mailing address
924 Judson AveUnit 3w
Evanston, IL 60202-4515
Phone 224-392-1731
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