Individual
NICOLE MAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 SOMERSET RD, WILLOWBROOK, IL 60527-5470
(630) 363-5368
Mailing address
137 SOMERSET RD, WILLOWBROOK, IL 60527-5470
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
926564
IL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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