Individual
ETHAN PALMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
110 S 19TH ST, SAINT CHARLES, IL 60174-1509
(561) 568-3948
Mailing address
110 S 19TH ST, SAINT CHARLES, IL 60174-1509
(561) 568-3948
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
09/16/2025
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