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Maxine Elizabeth Nusinow, MA, LMFT

Marriage & Family Therapist in Northbrook, IL. Individual provider (NPI-1).

NPI number1336821925
StatusActive
Last updated in NPPESAug 25, 2024

Details

NPI
1336821925
Entity type
Individual (NPI-1)
Name
Maxine Elizabeth Nusinow
Credential
MA, LMFT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 2, 2023
Certification date
Aug 25, 2024
Last updated
Aug 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist166.001785ILYes

Practice location

804 Oakleaf Ter
Northbrook, IL 60062-3712

Phone 847-529-0686

Mailing address

804 Oakleaf Ter
Northbrook, IL 60062-3712

Phone 847-529-0686

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