ETHAN ISRAELSOHN

OAK PARK, IL
NPI1265504864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-007781)
Enumeration Date2006-11-15
Last Update Date2017-08-31
Business Address
-- ETHAN ISRAELSOHN LCSW
715 LAKE ST STE 710
OAK PARK, IL 60301-1416
Phone number: 708-848-0112
Mailing Address
-- ETHAN ISRAELSOHN LCSW
715 LAKE ST STE 710
OAK PARK, IL 60301-1416
Phone number: 708-848-0112
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