Fuentes Harris, Marie Sandra

Fuentes Harris, Marie Sandra is an individual health care provider with primary practice located at 1000 N Westmoreland Rd # Level1 , Lake Forest IL 60045-1658. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fuentes Harris, Marie Sandra can be contacted via phone (847) 582-2134.

Contact Information

Primary practice address
1000 N Westmoreland Rd # Level1 Lake Forest IL 60045-1658
Fax: (847) 535-7285
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149010905 Illinois

Profile Details

NPI number 1962803882
LBN Legal business name Fuentes Harris, Marie Sandra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated Sep 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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