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Organization
REBECCA KIEFFER, LCSW LLC
Active
Organization
REBECCA KIEFFER, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KIEFFER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(224) 600-2531
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE, 311, EVANSTON, IL 60201-4970
(224) 600-2531
(312) 945-7505
Mailing address
2702 CRAWFORD AVE, EVANSTON, IL 60201-4924
(224) 600-2531
(312) 945-7505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015242
IL
Other
Enumeration date
09/03/2016
Last updated
02/07/2017
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