TONIA D. SHORT

LIVE WELL COUNSELING SERVICES LLC

Dr TONIA D. SHORT is a female medical professional, specializing in Clinical Social Worker. She graduated in 2003.

Contact

LIVE WELL COUNSELING SERVICES LLC

13317 COUNTY HWY 12
VENEDY
IL
622141103

Tel: 6183171537

TONIA D. SHORT Information

Npi 1891952560
Pac Id 3072662352
Professional Enrollment Id I20190411000648
Last Name SHORT
First Name TONIA
Middle Name D.
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2003
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIVE WELL COUNSELING SERVICES LLC
Group Practice Pac Id 5991002420
Number Of Group Practice Members 7
Line 1 Street Address 13317 COUNTY HWY 12
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VENEDY
State IL
Zip Code 622141103
Phone Number 6183171537
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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