Individual
SAMANTHA ANN NIERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
671 S LEWIS AVE, WAUKEGAN, IL 60085-6101
(847) 782-4128
Mailing address
2928 N ROCKWELL ST, CHICAGO, IL 60618-7806
(773) 330-7165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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