Most Relevant Information
Provider Data
| NPI Number: | 1003510579 |
| Provider Name: | MARLA LICHTERMAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149006616 |
Most Important Dates
| Enumeration Date: | 03/29/2023 |
| Last Updated: | 03/29/2023 |
Provider Practice Location
829 GLEN CREST DR
GLEN ELLYN
IL
601376468
Practice Location Phone/Fax
| Phone: | 6303361385 |
| Fax: |
Provider Mailing Location
829 GLEN CREST DR
GLEN ELLYN
IL
601376468
Provider Mailing Phone/Fax
| Phone: | 6303361385 |
| Fax: |