Individual
MS. AMYLYNN M WEITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW. LCSW
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 756-2944
Mailing address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
149011842
IL
1041C0700X
Clinical Social Worker
Primary
149011842
IL
Other
Enumeration date
11/16/2006
Last updated
05/06/2019
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