North Shore Resilient Family LLC

NPI #1891226767 in Evanston, Illinois

Provider Information

NPI Number: 1891226767
Entity Type: Organization
Organization Name: North Shore Resilient Family LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 23, 2017
Last Updated: Sep 21, 2017

Practice Location

Address: 636 CHURCH ST STE 416
City: Evanston
State: Illinois
ZIP Code: 60201-4580
Phone: (847) 461-9731

Authorized Official

Name: MARY ALEXANDRA 'ALEX DOTY, LCSW
Title: OWNER/ CLINICIAN
Phone: (847) 461-9731

Specialties & Taxonomy Codes

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

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