Re, Mariellen M.
Re, Mariellen M. is an individual health care provider with primary practice located at 1303 W Algonquin Rd , Lake In The Hills IL 60156-3575. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Re, Mariellen M. can be contacted via phone (847) 854-8995.Contact Information
Primary practice address
1303 W Algonquin Rd
Lake In The Hills IL 60156-3575
Phone: (847) 854-8995
Fax: (847) 658-0787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1669465340 |
|---|---|
| LBN Legal business name | Re, Mariellen M. |
| Credentials | L.C.S.W./C.A.D.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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