Individual
MRS. ERIN ELISABETH NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LCSW
Contact information
Practice address
10402 S CICERO AVE, OAK LAWN, IL 60453-4704
(708) 422-2898
(708) 636-8778
Mailing address
10402 S CICERO AVE, OAK LAWN, IL 60453-4704
(708) 422-2898
(708) 636-8778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33298
IL
104100000X
Social Worker
150.012271
IL
1041C0700X
Clinical Social Worker
149014663
IL
Other
Enumeration date
10/01/2009
Last updated
04/01/2019
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