Individual
ALICIA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5710 N BROADWAY ST, CHICAGO, IL 60660-4302
(224) 301-3749
(773) 765-0356
Mailing address
5710 N BROADWAY ST, CHICAGO, IL 60660-4302
(224) 301-3749
(773) 765-0356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017181
IL
Other
Enumeration date
01/29/2013
Last updated
12/12/2014
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