MS. Larea Joyce Staub, LCSW

NPI #1801016647 in Mchenry, Illinois

Provider Information

NPI Number
1801016647
Entity Type
Individual
Name
MS. Larea Joyce Staub, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5211 BULL VALLEY RD
ZIP Code
60050-7429
Phone
(847) 219-8670

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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