DIANE PETERSEN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1306187117

Practice Address

18640 W IL ROUTE 120
Grayslake, IL 60030

Phone: (847) 548-6000

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 149.005019 (IL)

Frequently Asked Questions

NPI 1306187117 is the National Provider Identifier for DIANE PETERSEN, LCSW, a Social Worker - Clinical provider located in Grayslake, IL. This NPI was enumerated on March 5, 2013.
DIANE PETERSEN, LCSW practices at 18640 W IL ROUTE 120, Grayslake, IL 60030.

Quick Facts

NPI
1306187117
Type
Individual
Enumerated
Mar 5, 2013
Last Updated
Mar 5, 2013

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