| Sara K Walz Lcsw, Llc | |
|
2531 Princeton Ave Evanston IL 60201-4940 | |
| (312) 543-6969 | |
| Not Available |
| Full Name | Sara K Walz Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2531 Princeton Ave, Evanston, Illinois |
| Authorized Official Name and Position | Sara K Walz (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 3125436969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara K Walz Lcsw, Llc 2531 Princeton Ave Evanston IL 60201-4940 Ph: (312) 543-6969 | Sara K Walz Lcsw, Llc 2531 Princeton Ave Evanston IL 60201-4940 Ph: (312) 543-6969 |
| NPI Number | 1740724772 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740724772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149010993 (Illinois) | Primary |
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