Organization
AGING WITH DIGNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BEAUFAIT LCSW, ACSW (PRINCIPAL)
(847) 624-9235
Entity
Organization
Contact information
Practice address
525 W HAWTHORNE PL APT 3104, CHICAGO, IL 60657-2961
(847) 624-9235
Mailing address
525 W HAWTHORNE PL APT 3104, CHICAGO, IL 60657-2961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.001031
LICENSED CLINICAL SOCIAL WORKER
IL
Enumeration date
04/26/2019
Last updated
04/26/2019
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