MS. Shannon Nicole Maximov, LCSW
NPI #1245378835 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1245378835
- Entity Type
- Individual
- Name
- MS. Shannon Nicole Maximov, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 3, 2007
- Last Updated
- Mar 31, 2022
Practice Location
- Address
- 900 N WESTMORELAND RD STE 114
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1680
- Phone
- (312) 695-7542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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