Mia Dagostino LLC
NPI #1720458938 in Northbrook, Illinois
Provider Information
- NPI Number
- 1720458938
- Entity Type
- Organization
- Organization Name
- Mia Dagostino LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 30, 2015
- Last Updated
- Sep 30, 2015
Practice Location
- Address
- 60 REVERE DR
- Address 2
- SUITE 100
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-1563
- Phone
- (773) 266-8984
Authorized Official
- Name
- MIA TERESA D'AGOSTINO, LCSW
- Title
- OWNER
- Phone
- (773) 266-8984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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