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Individual

MS. ELANA R DOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW, LCSW, TYPE 73

Contact information

Practice address
540 W FRONTAGE RD, SUITE 2135, NORTHFIELD, IL 60093-1250
(847) 204-2043
(847) 236-0360
Mailing address
540 W FRONTAGE RD, SUITE 2135, NORTHFIELD, IL 60093-1250
(847) 204-2043
(847) 236-0360

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.009455
IL

Other

Enumeration date
03/24/2014
Last updated
03/24/2014
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