Individual
AMY MAURA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
822 HILLGROVE AVE, WESTERN SPRINGS, IL 60558-1464
(708) 246-4277
Mailing address
1118 S GROVE AVE, OAK PARK, IL 60304-1909
(773) 699-0037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011139
IL
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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