Individual
MARISSA LYNN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 S MILWAUKEE AVE STE 305, LIBERTYVILLE, IL 60048-3773
(224) 355-1036
Mailing address
219 CENTER ST APT 205, GRAYSLAKE, IL 60030-3616
(309) 643-3016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115966
IL
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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