Individual
MRS. ANITA MARIE TARGONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(610) 224-3488
Mailing address
47 VALLEY RD, HIGHLAND PARK, IL 60035-5136
(224) 610-3488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
07/03/2006
Last updated
07/09/2007
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