Individual
AVIVA ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2754 W FULLERTON AVE, CHICAGO, IL 60647-6870
(312) 762-2749
Mailing address
655 W IRVING PARK RD APT 5514, CHICAGO, IL 60613-6311
(973) 715-6450
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
149.021661
IL
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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