MARY MIMS

HOMEWOOD, IL
NPI1174989016
Professional NameMARY MIMS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34006323A)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: IL  149022074)
Enumeration Date2016-01-07
Last Update Date2020-05-11
Business Address
Miss MARY MIMS
1051 185TH ST
HOMEWOOD, IL 60430-3509
Phone number: 708-903-7689
Mailing Address
Miss MARY MIMS
1051 185TH ST
HOMEWOOD, IL 60430-3509
Phone number: