Individual
MARY RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150010042
IL
1041C0700X
Clinical Social Worker
149013683
IL
225X00000X
Occupational Therapist
Primary
056009932
IL
Other
Enumeration date
07/19/2007
Last updated
01/14/2014
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