Individual
NANCY MERLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5128
(217) 585-1180
Mailing address
137 PINEHURST DR, SPRINGFIELD, IL 62704-3122
(630) 229-9746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103457
IL
1041C0700X
Clinical Social Worker
149.022022
IL
Other
Enumeration date
02/19/2019
Last updated
05/20/2021
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