Individual
AMANDA ROSE WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9711 SKOKIE BLVD, SUITE H, SKOKIE, IL 60077-1384
(773) 719-2140
Mailing address
9711 SKOKIE BLVD, SUITE H, SKOKIE, IL 60077-1384
(773) 719-2140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.009421
IL
Other
Enumeration date
08/12/2006
Last updated
02/02/2014
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