Individual
ELISE PULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
64 MAIN ST, OSWEGO, IL 60543-9893
(540) 849-0894
Mailing address
537 REDWOOD RD, BOLINGBROOK, IL 60440-2502
(540) 849-0894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023820
IL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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