Individual
CASSANDRA LINN FIRKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1559 DARROW AVE, EVANSTON, IL 60201-4075
(847) 424-9072
(847) 424-9042
Mailing address
PO BOX 1394, EVANSTON, IL 60204-1394
(847) 424-9072
(847) 424-9042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010602
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649481839
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/25/2008
Last updated
11/25/2008
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