Individual
SAMANTHA FRAGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4180 ROUTE 83, SUITE 10, LONG GROVE, IL 60047
(847) 821-1450
Mailing address
4180 ROUTE 83, SUITE 10, LONG GROVE, IL 60047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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