MR. Edward Paul Stith, MSW LCSW ACSW TYPE 7

NPI #1093801011 in Mundelein, Illinois

Provider Information

NPI Number
1093801011
Entity Type
Individual
Name
MR. Edward Paul Stith, MSW LCSW ACSW TYPE 7
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW LCSW ACSW TYPE 7
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
700 N LAKE ST
Address 2
SUITE 206
ZIP Code
60060
Phone
(847) 837-1450

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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