NPI 1013579085

Sara Panke, LCSW

Practitioner Clinical Social Worker Crystal Lake, IL

Practice location

Address: 1387 Parkridge CT, Crystal Lake, IL 60014-8693
Phone: (309) 256-5457

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 149015784 (IL)

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Registry record

NPI: 1013579085
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2019
Record last updated: 1 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.