Kathleen Diane Ely, LCSW
NPI #1104055714 in Sugar Grove, Illinois
Provider Information
- NPI Number
- 1104055714
- Entity Type
- Individual
- Name
- Kathleen Diane Ely, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 6, 2009
- Last Updated
- Sep 23, 2009
Practice Location
- Address
- 172 BROOKHAVEN COURT
- City
- Sugar Grove
- State
- Illinois
- ZIP Code
- 60554
- Phone
- (630) 466-0019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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