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Individual

DEIVANI RAMANATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
636 CHURCH ST STE 710, EVANSTON, IL 60201-4587
(847) 401-1560
Mailing address
2765 SUMMIT AVE, HIGHLAND PARK, IL 60035-1325
(847) 401-1560

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011702
IL

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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