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Individual

MRS. EWELINA PITON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
636 RAYMOND DR STE 306, NAPERVILLE, IL 60563-9792
(331) 732-4500
(331) 732-4505
Mailing address
636 RAYMOND DR STE 306, NAPERVILLE, IL 60563-9792
(331) 732-4500
(331) 732-4505

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149018530
IL
1041C0700X
Clinical Social Worker
149.018530
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149.018530
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
33854
ILLINOIS CERTIFICATION BOARD
IL
Enumeration date
06/30/2021
Last updated
12/30/2021
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