Individual
AMANDA R BERENGUEL SMOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(224) 306-1879
(224) 306-1878
Mailing address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(224) 306-1879
(224) 306-1878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104584
IL
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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