Individual
DR. BONNIE AARON MERVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
70 HASTINGS AVE, HIGHLAND PARK, IL 60035-5158
(847) 432-2113
(847) 433-3135
Mailing address
459 CENTRAL AVE, SUITE #200, HIGHLAND PARK, IL 60035-2622
(847) 432-2113
(847) 433-3135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149001026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149001026
IL LICENSED CLINICAL SOCIAL WORKER
IL
Enumeration date
05/31/2010
Last updated
05/31/2010
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