Melody A Stried LCSW

NPI 1689841652 - Social Worker - 1041C0700X

NPI Details
NPI 1689841652
Gender Female
Enumeration Date 05/09/2008
Last Updated 05/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4212 OLD GRAND AVE
SUITE 102
GURNEE IL, 60031-2708, US
Phone (847) 336-5621
Fax (847) 336-2594
Business Location
4212 OLD GRAND AVE
SUITE 102
GURNEE IL, 60031-2708, US
Phone (847) 336-5621
Fax (847) 336-2594
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.007254
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According to our database, Mrs. Melody A Stried LCSW NPI is 1689841652, taxonomy code is 1041C0700X and license number is 149.007254, license state is located at Illinois. Melody A Stried LCSW physically located at 4212 Old Grand Ave, Gurnee IL, 60031-2708. NPI Number Melody A Stried LCSW has the Individual type.

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1689841652 NPI number is provided on an as is basis without warranty of any kind. 1689841652 is maintained by the National Plan & Provider Enumeration System. The contents of Melody A Stried LCSW are for informational purposes only.