Organization
CLINICALLY QUEER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA FRY LCSW-C (OWNER)
(240) 660-6018
Entity
Organization
Contact information
Practice address
5639 N WAYNE AVE, CHICAGO, IL 60660-4472
(240) 660-6018
Mailing address
5639 N WAYNE AVE, CHICAGO, IL 60660-4472
(240) 660-6018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
03/30/2023
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