Individual
MRS. DOLLY MANDRELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3680 OPEN PKWY, ELGIN, IL 60124-8012
(360) 473-6953
Mailing address
3680 OPEN PKWY, ELGIN, IL 60124-8012
(360) 473-6953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022434
IL
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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