Individual
NIKITA VALENTYNA COAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
100 N ATKINSON RD, GRAYSLAKE, IL 60030-7801
(847) 441-5600
Mailing address
100 N ATKINSON RD, GRAYSLAKE, IL 60030-7801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150115050
IL
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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