Individual
MRS. CHRISTINA NICOLE PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1112 S WASHINGTON ST, NAPERVILLE, IL 60540-7959
(630) 717-9858
(630) 717-8259
Mailing address
506 N STEWART AVE, LOMBARD, IL 60148-1724
(630) 424-0988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232970
BLUE SHIELD PROVIDER #
IL
Enumeration date
03/05/2007
Last updated
07/08/2007
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