Coping 4 Kids
Social Worker, Clinical in Breese, IL. Organization (NPI-2).
NPI number1841738457
StatusActive
Last updated in NPPESFeb 2, 2017
Details
- NPI
- 1841738457
- Entity type
- Organization (NPI-2)
- Legal business name
- Coping 4 Kids
- Organization subpart
- No
- Enumeration date
- Feb 2, 2017
- Last updated
- Feb 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.013537 | IL | Yes |
Practice location
900 N Walnut St.Breese, IL 62230
Phone 618-830-5312
Mailing address
900 N Walnut St.Breese, IL 62230
Phone 618-830-5312
Authorized official
Kris Fulkerson
Founder/President
6188305312
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