Individual
MRS. EBONY KOZELSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26451 S WOODLAWN AVE, CRETE, IL 60417-4505
(708) 573-9091
Mailing address
26451 S WOODLAWN AVE, CRETE, IL 60417-4505
(708) 573-9091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021600
IL
Other
Enumeration date
12/05/2019
Last updated
10/06/2021
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