Organization
ENRICHING LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA WALLACH (LICENCED CLINICAL SOCIAL WORKER)
(630) 669-1615
Entity
Organization
Contact information
Practice address
633 ECHO LN, GLENVIEW, IL 60025-3433
(630) 669-1615
Mailing address
633 ECHO LN, GLENVIEW, IL 60025-3433
(630) 669-1615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.008160
IL
Other
Enumeration date
08/13/2016
Last updated
08/26/2016
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