Individual
DAX J JEMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6639 S WABASH AVE UNIT 1, CHICAGO, IL 60637-3034
(773) 383-4067
Mailing address
6639 S WABASH AVE UNIT 1, CHICAGO, IL 60637-3034
(773) 383-4067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021741
IL
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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