Individual
AMY BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
31480 HIGHWAY 45, LIBERTYVILLE, IL 60048
(847) 680-2715
(847) 680-3832
Mailing address
31480 HIGHWAY 45, LIBERTYVILLE, IL 60048
(847) 680-2715
(847) 680-3832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363300648
TAX ID
IL
Enumeration date
09/06/2006
Last updated
11/07/2013
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