Individual
MELANIE LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 N GENESEE ST, WAUKEGAN, IL 60085-4205
(847) 623-1730
Mailing address
2713 W LUCIA AVE, WAUKEGAN, IL 60085-9201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103196
IL
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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