Individual
MS. ELYCE MEILSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3001 6TH ST, GREAT LAKES, IL 60088-2833
(847) 688-5328
Mailing address
4607 KINGS WAY N, GURNEE, IL 60031-3210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
03/02/2006
Last updated
10/26/2007
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