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Organization

JOSEPHINE PLOETZ, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOSEPHINE PLOETZ L.C.S.W., LLC (SOCIAL WORKER)
(847) 866-8591
Entity
Organization

Contact information

Practice address
1740 RIDGE AVE, SUITE 101B, EVANSTON, IL 60201-5918
(847) 866-8591
Mailing address
1740 RIDGE AVE, SUITE 101B, EVANSTON, IL 60201-5918
(847) 866-8591

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
394283185
IL

Other

Enumeration date
12/03/2008
Last updated
12/03/2008
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