SUELLEN SHIVELY-MACK

ELGIN, IL
NPI1205197415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.010072)
Enumeration Date2012-06-04
Last Update Date2012-06-04
Business Address
-- SUELLEN SHIVELY-MACK L.C.S.W.
240 STANDISH ST
ELGIN, IL 60123-6421
Phone number: 847-742-5717
Mailing Address
-- SUELLEN SHIVELY-MACK L.C.S.W.
240 STANDISH ST
ELGIN, IL 60123-6421
Phone number: 847-742-5717
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