Individual
ELLIE MARIE WAIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7620 N UNIVERSITY ST STE 109, PEORIA, IL 61614-8300
(309) 839-8984
Mailing address
7620 N UNIVERSITY ST STE 109, PEORIA, IL 61614-8300
(309) 839-8984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.117281
IL
Other
Enumeration date
12/29/2023
Last updated
08/20/2025
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