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Individual
MARY NAUGLE
Active
Individual
MARY NAUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180003366
IL
1041C0700X
Clinical Social Worker
Primary
149009793
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10126478
BLUE SHIELD OF IL PROV #
IL
01
—
175274
COM PSYCH
IL
01
—
7200619
AETNA PROVIDER #
IL
Enumeration date
06/19/2006
Last updated
04/13/2023
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