Supriya Mohan
Supriya Mohan is a Clinical Social Worker in Lake Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
900 N Westmoreland Rd Ste 220Lake Forest, IL 60045-1681
Phone: (847) 535-8060
Fax: (847) 535-8070
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149022003 (IL) |
|---|
Record details
| NPI number | 1093195794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2015 |
| Last updated in NPPES | May 7, 2020 |
| Certification date | May 7, 2020 |
| Mailing address | 900 N Westmoreland Rd Ste 220, Lake Forest, IL 60045-1681 |
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