Individual
MRS. BENITA VIVIAN LACKAJS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3249 N CENTRAL AVE, CHICAGO, IL 60634-4360
(773) 371-3700
(773) 282-6698
Mailing address
3249 N CENTRAL AVE, CHICAGO, IL 60634-4360
(773) 371-3700
(773) 282-6698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
04/04/2008
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