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Individual

DAVID ENSOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
27 GRANT ST, CRYSTAL LAKE, IL 60014-4372
(815) 276-3947
Mailing address
160 BRIGHT OAKS CIR, CARY, IL 60013-1522

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115345
IL

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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