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Individual

ARCHANA RAVINUTHALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5501 N CLARK ST FL 2, CHICAGO, IL 60640-1213
(312) 569-0038
Mailing address
5501 N CLARK ST FL 2, CHICAGO, IL 60640-1213

Taxonomy

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

Other

Enumeration date
05/20/2024
Last updated
05/20/2024
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