Organization
ASER CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SERRITELLA LCSW (OWNER)
(847) 714-4720
Entity
Organization
Contact information
Practice address
3402 LANDSEND CT, ISLAND LAKE, IL 60042-9732
(847) 714-4720
Mailing address
3402 LANDSEND CT, ISLAND LAKE, IL 60042-9732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319806119001
—
IL
Enumeration date
01/02/2023
Last updated
01/02/2023
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