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Organization
MELINDA DWORKIN & ASSOCIATES INC.
Active
Organization
MELINDA DWORKIN & ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA DWORKIN LCSW (PRESIDENT)
(847) 475-0451
Entity
Organization
Contact information
Practice address
1609 SHERMAN AVE, SUITE 300, EVANSTON, IL 60201-3753
(847) 475-0451
(847) 475-4849
Mailing address
1617 BRUMMEL ST, EVANSTON, IL 60202-3709
(847) 475-0451
(847) 475-4849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011855
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699849018
NPI INDIVIDUAL
IL
Enumeration date
07/17/2009
Last updated
08/04/2009
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