AGNESE MACTAVISH

PALATINE, IL
NPI1922735315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  150.108577)
Enumeration Date2022-08-04
Last Update Date2022-08-04
Business Address
AGNESE MACTAVISH LSW
1066 W CHATHAM DR
PALATINE, IL 60067-5864
Phone number: 404-488-9158
Mailing Address
AGNESE MACTAVISH LSW
1066 W CHATHAM DR
PALATINE, IL 60067-5864
Phone number: 404-488-9158