Provider Demographics
NPI:1245694421
Name:MROZEK, JOAN MARIE (RN-BC, LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:MARIE
Last Name:MROZEK
Suffix:
Gender:F
Credentials:RN-BC, LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:120 SPALDING DR STE 307
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6521
Mailing Address - Country:US
Mailing Address - Phone:630-527-2920
Mailing Address - Fax:630-527-2921
Practice Address - Street 1:120 SPALDING DR STE 307
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6521
Practice Address - Country:US
Practice Address - Phone:630-527-2920
Practice Address - Fax:630-527-2921
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1490096091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical