Individual
CANDICE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1759 N LONG AVE, CHICAGO, IL 60639-4320
(773) 996-0091
Mailing address
1759 N LONG AVE, CHICAGO, IL 60639-4320
(773) 996-0091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106919
IL
104100000X
Social Worker
Primary
150106919
IL
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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