Individual
NICOLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 N GRANT ST, HINSDALE, IL 60521-3363
(708) 620-2728
Mailing address
19 N GRANT ST, HINSDALE, IL 60521-3363
(708) 620-2728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102877
IL
104100000X
Social Worker
—
—
Other
Enumeration date
01/28/2020
Last updated
12/05/2022
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