Individual
ERIKA N HETLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8201
Mailing address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150014306
IL
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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