Individual
MS. JESSICA MARIE CACCAVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
9241 S IL ROUTE 31, LAKE IN THE HILLS, IL 60156-1607
(847) 854-4333
(847) 854-4334
Mailing address
562 SUMMER BLVD APT 301, LAKEMOOR, IL 60051-6431
(847) 802-2195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102142
IL
Other
Enumeration date
06/23/2017
Last updated
03/17/2018
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