Josephine Ploetz, Lcsw, LLC

NPI #1245475300 in Evanston, Illinois

Provider Information

NPI Number: 1245475300
Entity Type: Organization
Organization Name: Josephine Ploetz, Lcsw, LLC
Primary Specialty: Social Worker
Enumeration Date: Dec 3, 2008
Last Updated: Dec 3, 2008

Practice Location

Address: 1740 RIDGE AVE
Address 2: SUITE 101B
City: Evanston
State: Illinois
ZIP Code: 60201-5918
Phone: (847) 866-8591

Authorized Official

Name: MS. JOSEPHINE PLOETZ, L.C.S.W., LLC
Title: SOCIAL WORKER
Phone: (847) 866-8591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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