Doctor Name: | MRS. OMA SNEDECOR RICE |
NPI Number: | 1265765366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149010828 |
Business Practice Address: | 949 County Road 1300 N Carmi, IL - 628215010 |
Business Phone Number: | 6183823907 |
Business Fax Number: | |
Mailing Address: | 381 County Road 100 E, NORRIS CITY |
State: | IL |
Postal Code: | 628693838 |
Phone Number: | 6189262458 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2009 |
NPI Last Update Date: | 09/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149010828 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |