Organization
MARY GRANT-ANGIOLETTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY GRANT-ANGIOLETTI L.C.S.W. (LICENSED CLINICAL SOCAIL WORKER)
(847) 452-3099
Entity
Organization
Contact information
Practice address
9 S FAIRVIEW AVE, 203, PARK RIDGE, IL 60068-4033
(847) 452-3099
Mailing address
9 S FAIRVIEW AVE, 203, PARK RIDGE, IL 60068-4033
(847) 452-3099
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149002546
IL
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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