Individual
ALICE MARY DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 COMMERCE DR STE B, GRAYSLAKE, IL 60030-1646
(847) 665-9146
Mailing address
1845 TALL OAKS DR, ANTIOCH, IL 60002-6243
(847) 421-6669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023200
IL
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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