Individual
ASHLEY MAE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BROWN BLVD, BOURBONNAIS, IL 60914-2328
(815) 214-9766
Mailing address
500 BROWN BLVD, BOURBONNAIS, IL 60914-2328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104921
IL
Other
Enumeration date
03/11/2021
Last updated
02/12/2025
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