| NPI | 1265606602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE KAPLAN WELLINGTON Licensed Clinical Social Worker 847-251-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003571) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-09-09 |