Individual
CORY GRAPENTHIEN BEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6538 N NORTHWEST HWY APT 1I, CHICAGO, IL 60631-4002
(312) 330-1250
Mailing address
6538 N NORTHWEST HWY APT 1I, CHICAGO, IL 60631-4002
(312) 330-1250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149021114
IL
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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