Individual
CANDIDA JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7624 W BELMONT AVE, CHICAGO, IL 60634-3225
(773) 887-0987
Mailing address
7624 W BELMONT AVE, CHICAGO, IL 60634-3225
(773) 887-0987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017821
IL
Other
Enumeration date
01/03/2018
Last updated
03/25/2020
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