Agnese Mactavish, LSW

NPI #1922735315 in Palatine, Illinois

Provider Information

NPI Number: 1922735315
Entity Type: Individual
Name: Agnese Mactavish, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Aug 4, 2022
Last Updated: Aug 4, 2022

Practice Location

Address: 1066 W CHATHAM DR
City: Palatine
State: Illinois
ZIP Code: 60067-5864
Phone: (404) 488-9158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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