Individual
ANGELA R BLACK CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
600 SPRING HILL RING RD, SUITE 113 A, WEST DUNDEE, IL 60118-7300
(815) 600-1999
Mailing address
307 WARNER ST, HAMPSHIRE, IL 60140-9461
(815) 600-1999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149007668
IL
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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