DIANE PETERSEN

GRAYSLAKE, IL
NPI1306187117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.005019)
Enumeration Date2013-03-05
Last Update Date2013-03-05
Business Address
-- DIANE PETERSEN LCSW
18640 W IL ROUTE 120
GRAYSLAKE, IL 60030-9733
Phone number: 847-548-6000
Mailing Address
-- DIANE PETERSEN LCSW
18640 W IL ROUTE 120
GRAYSLAKE, IL 60030-9733
Phone number: 847-548-6000
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