Individual
ERIN DE GROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
922 DAVIS ST, EVANSTON, IL 60201-3605
(847) 999-4757
Mailing address
215 COLUMBIA AVE, PARK RIDGE, IL 60068-4923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149017287
IL
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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