Individual
KIM NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9 CRYSTAL LAKE RD STE 250, LAKE IN THE HILLS, IL 60156-1296
(847) 221-5622
Mailing address
975 BLACKBERRY CT, LAKE IN THE HILLS, IL 60156-4601
(773) 459-7061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106773
IL
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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