Douglas Van Til, LCSW

NPI #1720359441 in Crete, Illinois

Provider Information

NPI Number: 1720359441
Entity Type: Individual
Name: Douglas Van Til, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 26, 2012
Last Updated: Jan 26, 2012

Practice Location

Address: 24755 S COUNTRY LN
City: Crete
State: Illinois
ZIP Code: 60417-2658
Phone: (800) 361-6880

Specialties & Taxonomy Codes

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

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