Individual
MR. EDWARD PAUL STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSW ACSW TYPE 7
Contact information
Practice address
700 N LAKE ST, SUITE 206, MUNDELEIN, IL 60060
(847) 837-1450
Mailing address
905 NOEL DR, MUNDELEIN, IL 60060
(847) 837-1450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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