Individual
MRS. ELLEN MARIE SPIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
19518 116TH AVE UNIT D, MOKENA, IL 60448
(708) 552-1291
Mailing address
19518 116TH AVE UNIT D, MOKENA, IL 60448-1854
(708) 552-1291
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001125
IL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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