Organization
ELIZABETH CRISOSTOMO LCSW LLC
Active
Other names
Elizabeth Crisostomo LCSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CRISOSTOMO AM LCSW (OWNER/THERAPIST)
(773) 242-5673
Entity
Organization
Contact information
Practice address
2045 W GRAND AVE STE B, CHICAGO, IL 60612-1577
(708) 261-1535
Mailing address
2045 W GRAND AVE STE B, CHICAGO, IL 60612-1577
(708) 261-1535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
06/17/2024
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