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Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
609 BRIDGEPORT PL, WHEELING, IL 60090-2624
(224) 399-6646
(630) 787-0484
Mailing address
609 BRIDGEPORT PL, WHEELING, IL 60090-2624
(224) 399-6646
(630) 787-0484

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150014033
IL

Other

Enumeration date
02/15/2013
Last updated
02/15/2013
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