Individual
EMILY ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
521 S LA GRANGE RD, SUITE 204, LA GRANGE, IL 60525-6700
(872) 588-0373
Mailing address
521 S LA GRANGE RD, SUITE 204, LA GRANGE, IL 60525-6700
(872) 588-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013088
IL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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