Individual
ERIN STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 W 5TH AVE STE 205, NAPERVILLE, IL 60563-4945
(630) 779-0751
Mailing address
2221 COVINGTON LN, PLAINFIELD, IL 60586-5519
(847) 207-4680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016631
IL
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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