Jamie Mirocha
NPI #1164806279 in Plainfield, Illinois
Provider Information
- NPI Number
- 1164806279
- Entity Type
- Organization
- Organization Name
- Jamie Mirocha
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 17, 2015
- Last Updated
- Jul 17, 2015
Practice Location
- Address
- 24012 W RENWICK RD STE 204A
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60544-8733
- Phone
- (815) 676-4688
Authorized Official
- Name
- JAMIE MIROCHA, LCSW, CADC
- Title
- THERAPIST
- Phone
- (815) 676-4688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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