Riis, Marisa Saisakorn
Riis, Marisa Saisakorn is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Riis, Marisa Saisakorn can be contacted via phone (708) 216-4028.Contact Information
Primary practice address
2160 S 1St Ave
Maywood IL 60153-3328
Phone: (708) 216-4028
Fax: (708) 216-5044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.013593 | Illinois |
Profile Details
| NPI number | 1417271222 |
|---|---|
| LBN Legal business name | Riis, Marisa Saisakorn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Mar 23rd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417271222 | NPPES |
| Illinois | Other | 149.013593 | LCSW LICENSE NUMBER |
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