Individual
MARISA WAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 OLD GLENVIEW RD STE 15, WILMETTE, IL 60091-2963
(847) 256-2000
Mailing address
3330 OLD GLENVIEW RD STE 15, WILMETTE, IL 60091-2963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150106644
IL
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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