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Individual

MARY OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1140 N MCLEAN BLVD STE 1, ELGIN, IL 60123-1782
(847) 695-3680
Mailing address
1219 S 6TH ST, ST CHARLES, IL 60174-4032
(630) 777-9127

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/03/2020
Last updated
02/03/2020
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