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Contact Information

WELLNESS LOFT INC.
408 SOUTH 4TH ST.
EFFINGHAM, IL62401
 Phone: 217-347-5118
 Fax: 217-347-7609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for WELLNESS LOFT INC · (Female)

NPI Number 1689926487
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2012
Last updated 01/28/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 149011337
  • IL License # 180.006036
  • IL License # 180000748
  • IL License # 180002037
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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