DANIEL MARTIN

WAUKEGAN, IL
NPI1598789885
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149005797)
Enumeration Date2006-07-27
Last Update Date2012-08-28
Business Address
-- DANIEL MARTIN LSW
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8077
Mailing Address
-- DANIEL MARTIN LSW
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8077
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