Individual
MAGGIE PUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LSW
Contact information
Practice address
225 E CHICAGO AVE # 10B, CHICAGO, IL 60611-2991
(312) 227-2919
Mailing address
225 E CHICAGO AVE # 10B, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105440
IL
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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