Anderson, Mary Lynn

Anderson, Mary Lynn is an individual health care provider with primary practice located at 125 E Lake St Ste 203 , Bloomingdale IL 60108-1117. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Mary Lynn can be contacted via phone (630) 924-0199.

Contact Information

Primary practice address
125 E Lake St Ste 203 Bloomingdale IL 60108-1117
Phone: (630) 924-0199
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1932201472
LBN Legal business name Anderson, Mary Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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