Individual
MRS. REBECCA EILEEN CIESLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4100 VETERANS PKWY, MCHENRY, IL 60050-8350
(815) 669-2429
Mailing address
3101 BULL VALLEY RD, MCHENRY, IL 60050-8360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088451
MI
1041C0700X
Clinical Social Worker
149013429
IL
Other
Enumeration date
10/02/2006
Last updated
08/09/2017
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