Individual
DEBRA S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
236 W NORTHWEST HWY, SUITE 204, BARRINGTON, IL 60010-3195
(847) 373-2874
Mailing address
105 CENTER ST, FOX RIVER GROVE, IL 60021-1401
(847) 373-2874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-007252
IL
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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