Individual
MS. CHANDRA NICOLE LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8148 COLUMBIA AVE, MUNSTER, IN 46321-1803
(708) 513-5104
Mailing address
8148 COLUMBIA AVE, MUNSTER, IN 46321-1803
(708) 513-5104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013348
IL
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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