Individual
AMANDA L DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2653 W OGDEN AVE, 2ND FLOOR, CHICAGO, IL 60608-1647
(773) 257-6672
Mailing address
2653 W OGDEN AVE, 2ND FLOOR, CHICAGO, IL 60608-1647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017591
IL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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