Individual
MRS. ELIZABETH BAKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5N233 BLUFF DR S, ST CHARLES, IL 60175-5189
(708) 257-9594
Mailing address
5N233 BLUFF DR S, ST CHARLES, IL 60175-5189
(708) 257-9594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149021916
IL
Other
Enumeration date
08/05/2020
Last updated
05/02/2023
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