Marisa Ikenn, LSW

NPI #1073212320 in Lake in the Hills, Illinois

Provider Information

NPI Number: 1073212320
Entity Type: Individual
Name: Marisa Ikenn, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Feb 27, 2023
Last Updated: Feb 27, 2023

Practice Location

Address: 9 CRYSTAL LAKE RD STE 140
City: Lake in the Hills
State: Illinois
ZIP Code: 60156-1254
Phone: (224) 456-9356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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