Individual
MARISA IKENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9 CRYSTAL LAKE RD STE 140, LAKE IN THE HILLS, IL 60156-1254
(224) 456-9356
Mailing address
9 CRYSTAL LAKE RD STE 140, LAKE IN THE HILLS, IL 60156-1254
(224) 456-9356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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