Individual
ELLEN JOY KUPCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1937 BOSWORTH LN, NORTHFIELD, IL 60093-3212
(847) 441-6377
Mailing address
1937 BOSWORTH LN, NORTHFIELD, IL 60093-3212
(847) 441-6377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011420
IL
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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