Judith Fradin, LCSW
Social Worker, Clinical in Gurnee, IL. Individual provider (NPI-1).
NPI number1861663809
StatusActive
Last updated in NPPESMar 18, 2008
Details
- NPI
- 1861663809
- Entity type
- Individual (NPI-1)
- Name
- Judith Fradin
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2008
- Last updated
- Mar 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149012836 | IL | Yes |
Practice location
1790 Nations DrSuite 208
Gurnee, IL 60031-9164
Phone 847-913-0393 · Fax 847-913-9630
Mailing address
1401 McHenry RdSuite 122
Buffalo Grove, IL 60089-1382
Phone 847-913-0393 · Fax 847-913-9630
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