Individual
COLLEEN DALY NOWLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 S MILWAUKEE AVE STE 104, LIBERTYVILLE, IL 60048-3759
(847) 367-5991
Mailing address
707 W BURNING TREE LN, ARLINGTON HEIGHTS, IL 60004-2036
(847) 571-4711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2019
Last updated
06/17/2020
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