Individual
EDESSA MIRZAPOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1415 BOND ST STE 127, NAPERVILLE, IL 60563-2769
(630) 355-9002
Mailing address
5307 PAPAW DR, NAPERVILLE, IL 60564-5348
(773) 387-6350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010475
IL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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