Individual
ELLEN ROSE SAGENDORPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 W HIGGINS RD STE 1250, HOFFMAN ESTATES, IL 60169-2051
(847) 303-1880
Mailing address
1003 VICTORIA DR, ISLAND LAKE, IL 60042-8211
(847) 858-0044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.023823
IL
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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