Individual
MS. CYNTHIA A WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PC
Contact information
Practice address
53 W JACKSON BLVD STE 626, CHICAGO, IL 60604-3444
(773) 469-6299
Mailing address
3828 N CLAREMONT AVE, CHICAGO, IL 60618-3818
(773) 588-6299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-003028
IL
Other
Enumeration date
11/30/2005
Last updated
01/03/2019
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