Marisa Wakely

NPI #1407563240 in Wilmette, Illinois

Provider Information

NPI Number: 1407563240
Entity Type: Individual
Name: Marisa Wakely
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 1, 2022
Last Updated: Nov 1, 2022

Practice Location

Address: 3330 OLD GLENVIEW RD STE 15
City: Wilmette
State: Illinois
ZIP Code: 60091-2963
Phone: (847) 256-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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