Individual
MRS. DEBRA A SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60169-5029
(847) 755-8090
(847) 843-7393
Mailing address
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60169-5029
(847) 755-8090
(847) 843-7393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-004715
IL
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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