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Individual

ELISA TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3150 N SHERIDAN RD, #22A, CHICAGO, IL 60657-4811
(773) 327-9161
Mailing address
3150 N SHERIDAN RD, #22A, CHICAGO, IL 60657-4811
(773) 327-9161

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014693
IL

Other

Enumeration date
03/05/2012
Last updated
03/05/2012
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