Individual
ELLA MARGARET PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
(224) 985-2119
Mailing address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
(224) 985-2119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150107244
IL
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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