|Taxonomy Code||Specialty Code||Provider Type|
|1041C0700X||80||Licensed Clinical Social Worker|
|364SP0808X||89||Certified Clinical Nurse Specialist|
|LBN Legal business name||NORTHWESTERN COMMUNITY SERVICES BOARD|
|Authorized official||MILLARD HALL - (CHIEF EXECUTIVE OFFICER)|
|Organization subpart 1||No|
|Last updated||03/18/2009 - About 8 years ago|
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NORTHWESTERN COMMUNITY SERVICES BOARD
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