MS. Marie Alice Maciejko, LPC

NPI #1861110009 in Forest Park, Illinois

Provider Information

NPI Number: 1861110009
Entity Type: Individual
Name: MS. Marie Alice Maciejko, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 15, 2022
Last Updated: Aug 15, 2022

Practice Location

Address: 8311 ROOSEVELT RD
City: Forest Park
State: Illinois
ZIP Code: 60130-2500
Phone: (708) 771-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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