Wirtz, Laura Kelly

Wirtz, Laura Kelly is an individual health care provider with primary practice located at 3033 W Jefferson St 107, Joliet IL 60435-5261. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wirtz, Laura Kelly can be contacted via phone (815) 773-0772.

Contact Information

Primary practice address
3033 W Jefferson St 107 Joliet IL 60435-5261
Phone: (815) 773-0772
Fax: (815) 773-0771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149010888 Illinois

Profile Details

NPI number 1922152248
LBN Legal business name Wirtz, Laura Kelly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 15th, 2010 - about 14 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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