Individual
AMANDA HUTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19805 S LA GRANGE RD, MOKENA, IL 60448-8348
(708) 938-3378
Mailing address
PO BOX 57085, CHICAGO, IL 60657-7345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012027
IL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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