DIANE NICKLESS

ORLAND PARK, IL
NPI1891221974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149013771)
Enumeration Date2017-05-10
Last Update Date2017-05-10
Business Address
-- DIANE NICKLESS
11114 KAREN DR
ORLAND PARK, IL 60467-4482
Phone number: 773-791-9884
Mailing Address
-- DIANE NICKLESS
11114 KAREN DR
ORLAND PARK, IL 60467-4482
Phone number: 773-791-9884
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