Individual
ELISA MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5547 N RAVENSWOOD AVE, CHICAGO, IL 60640-1125
(773) 769-4313
Mailing address
3708 W WABANSIA AVE, CHICAGO, IL 60647-4734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010430
IL
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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