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Individual

MR. JOHN LOUIS WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LCSW

Contact information

Practice address
1620 W THOME ST, CHICAGO, IL 60660
(847) 475-2691
(847) 475-2691
Mailing address
2320 THAYER ST. EVANSTON IL 60201, EVANSTON, IL 60201
(847) 475-2691
(847) 475-2691

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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