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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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