Kristie M Bisaillon, LCSW
Social Worker, Clinical in Aurora, IL. Individual provider (NPI-1).
NPI number1700367752
StatusActive
Last updated in NPPESSep 24, 2018
Details
- NPI
- 1700367752
- Entity type
- Individual (NPI-1)
- Name
- Kristie M Bisaillon
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2018
- Last updated
- Sep 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.020116 | IL | Yes |
Practice location
400 Mercy LnAurora, IL 60506-2447
Phone 630-966-7400
Mailing address
3204 Eagle WayChicago, IL 60678-1032
Phone 630-717-2258
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