Individual
STACEY NITKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9040 KOSTNER AVE, SKOKIE, IL 60076-1657
(312) 802-1769
Mailing address
9040 KOSTNER AVE, SKOKIE, IL 60076-1657
(312) 802-1769
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
IL
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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