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Individual
MS. LOREN MERCOLA
Active
Individual
MS. LOREN MERCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16488
IL
1041C0700X
Clinical Social Worker
Primary
149007810
IL
1041S0200X
School Social Worker
1533934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364123208
TAX ID FOR S-CORP
IL
Enumeration date
09/04/2006
Last updated
11/15/2019
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