Individual
ALISSA STOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 E ILLINOIS RD, LAKE FOREST, IL 60045-1943
(847) 723-0534
Mailing address
924 FOREST AVE, DEERFIELD, IL 60015-2919
(847) 607-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14901809
IL
Other
Enumeration date
06/29/2017
Last updated
10/25/2022
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