Individual
NATALIE VANDENBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E MAIN ST, ST CHARLES, IL 60174-1948
(630) 587-3777
Mailing address
202 AINSLEY DR, WEST CHICAGO, IL 60185-4946
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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