Jamie Mirocha
Jamie Mirocha provides Clinical Social Worker services in Plainfield, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
24012 W Renwick Rd Ste 204APlainfield, IL 60544-8733 Not confirmed with CMS for 11 years — call before visiting
Phone: (815) 676-4688
Fax: (815) 676-4498
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149017464 (IL) |
|---|
Record details
| NPI number | 1720463847 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamie Mirocha — Licensed Clinical Social Worker · (815) 676-4688 |
| NPI enumerated | July 30, 2015 |
| Last updated in NPPES | July 30, 2015 |
| Mailing address | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 |
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