Mike P. Homan, LCSW

NPI #1952410060 in Alton, Illinois

Provider Information

NPI Number: 1952410060
Entity Type: Individual
Name: Mike P. Homan, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 30, 2006
Last Updated: Sep 17, 2015

Practice Location

Address: 815 E 5TH ST
Address 2: SUITE 101
City: Alton
State: Illinois
ZIP Code: 62002
Phone: (618) 474-6246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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