NICOLE EHRENSTROM

WATERLOO, IL
NPI1912656968
Former NameNICOLE BARTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2014029681)
Enumeration Date2022-03-18
Last Update Date2022-03-18
Business Address
NICOLE EHRENSTROM MSW
1 ED GARDNER PL
WATERLOO, IL 62298-1677
Phone number: 618-939-3060
Mailing Address
NICOLE EHRENSTROM MSW
1 ED GARDNER PL
WATERLOO, IL 62298-1677
Phone number: 618-939-3060