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Organization
STAYONTRACK, INC
Active
Organization
STAYONTRACK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIE MAE DULAENY LCSW (PRESIDENT)
(312) 343-0038
Entity
Organization
Contact information
Practice address
5100 N MARINE DR APT 18B, CHICAGO, IL 60640-6363
(312) 343-0038
Mailing address
5100 N MARINE DR APT 18B, CHICAGO, IL 60640-6363
(312) 343-0038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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