| Doctor Name: | CONNIE E DEEN |
| NPI Number: | 1457369076 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 1006 S Division St Carterville, IL - 629181539 |
| Business Phone Number: | 6189854841 |
| Business Fax Number: | 6189858101 |
| Mailing Address: | 955 Autumn Pt, CARBONDALE |
| State: | IL |
| Postal Code: | 629015259 |
| Phone Number: | 6189104979 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| 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 |