Penelope A Andersen, LCSW,LMFT,MSW Valid NPI

Individual provider · Clinical Social Worker · Glen Ellyn, IL

NPI

1821167982

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

149009657 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2006-11-06

Last updated

2007-07-08