Individual
ALEXANDRIA JOANN HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 COVENTRY LN STE 101, CRYSTAL LAKE, IL 60014-7569
(224) 650-7167
Mailing address
451 COVENTRY LN STE 101, CRYSTAL LAKE, IL 60014-7569
(224) 650-7167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149024257
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/15/2018
Last updated
08/16/2022
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