Individual
MRS. EDI CLAIRE GOLDEN-GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 ISABELLA STREET, WILMETTE, IL 60091
(847) 251-5257
Mailing address
1300 ISABELLA ST, WILMETTE, IL 60091-3239
(847) 251-5257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.004408
IL
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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