Individual
SAMANTHA MARIA TOMASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
973 MANCHESTER CIR, GRAYSLAKE, IL 60030-3341
(472) 088-2498
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107595
IL
106S00000X
Behavior Technician
18-51380
IL
Other
Enumeration date
03/14/2018
Last updated
11/06/2023
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