Individual
DANIELLE SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1580 N NORTHWEST HWY, PARK RIDGE, IL 60068-1444
(847) 636-7635
Mailing address
1452 N WATERBURY CIR, PALATINE, IL 60074-7068
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150007807
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150007807
LICENSED SOCIAL WORKER
IL
Enumeration date
09/13/2018
Last updated
09/13/2018
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