Individual
MRS. EWA SUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
1022 FOREST AVE, OAK PARK, IL 60302-1312
(708) 704-6951
Mailing address
1022 FOREST AVE, OAK PARK, IL 60302-1312
(708) 704-6951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28924
IL
1041C0700X
Clinical Social Worker
Primary
149.014816
IL
Other
Enumeration date
01/21/2014
Last updated
09/11/2023
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