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Emily Ernst, LCSW

Social Worker, Clinical in La Grange, IL. Individual provider (NPI-1).

NPI number1780128678
StatusActive
Last updated in NPPESDec 12, 2016

Details

NPI
1780128678
Entity type
Individual (NPI-1)
Name
Emily Ernst
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 12, 2016
Last updated
Dec 12, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149.013088ILYes

Practice location

521 S La Grange Rd
Suite 204
La Grange, IL 60525-6700

Phone 872-588-0373

Mailing address

521 S La Grange Rd
Suite 204
La Grange, IL 60525-6700

Phone 872-588-0373

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