Individual
DEXTAVIUS D CHATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10737 S KEATING AVE, OAK LAWN, IL 60453-5482
(773) 412-4927
Mailing address
10737 S KEATING AVE, OAK LAWN, IL 60453-5482
(773) 412-4927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
150.110078
IL
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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