Individual
MARY ELLEN NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LSW
Contact information
Practice address
671 S LEWIS AVE, WAUKEGAN, IL 60085-6101
(847) 782-4113
(847) 782-1030
Mailing address
671 S LEWIS AVE, WAUKEGAN, IL 60085-6101
(847) 782-4113
(847) 782-1030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150009497
IL
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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