Sledge, Renata B
Sledge, Renata B is an sole proprietor health care provider with primary practice located at 1329 Pepperidge Dr , O Fallon IL 62269-3041. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sledge, Renata B can be contacted via phone (317) 451-9298.Contact Information
Primary practice address
1329 Pepperidge Dr
O Fallon IL 62269-3041
Phone: (317) 451-9298
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1194342170 |
|---|---|
| LBN Legal business name | Sledge, Renata B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2020 |
| Last updated | Jun 25th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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