Individual
AMIE STEFANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
474 N LAKE SHORE DR APT 2006, CHICAGO, IL 60611-6463
(269) 757-2695
Mailing address
474 N LAKE SHORE DR APT 2006, CHICAGO, IL 60611-6463
(269) 757-2695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015164
IL
1041C0700X
Clinical Social Worker
34006999A
IN
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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