Ervin Wainwright

NPI #1548703887 in Freeport, Illinois

Provider Information

NPI Number: 1548703887
Entity Type: Individual
Name: Ervin Wainwright
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 18, 2016
Last Updated: Nov 18, 2016

Practice Location

Address: 701 W LAMM RD
City: Freeport
State: Illinois
ZIP Code: 61032-9630
Phone: (815) 233-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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