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Individual

NICOLE ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5320 W ELM ST, MCHENRY, IL 60050-4029
(630) 917-1543
Mailing address
2489 AJAX ST, CRYSTAL LAKE, IL 60014-3947
(630) 917-1543

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Enumeration date
09/26/2025
Last updated
09/26/2025
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