MICAIAH ELLIE MAHAN

SKOKIE, IL
NPI1376297895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.023917)
Enumeration Date2022-02-04
Last Update Date2022-02-04
Business Address
MICAIAH ELLIE MAHAN
5150 GOLF RD
SKOKIE, IL 60077-1283
Phone number: 224-318-7120
Mailing Address
MICAIAH ELLIE MAHAN
1224 W ROSEMONT AVE APT 3
CHICAGO, IL 60660-1519
Phone number: 224-318-7120