Individual
AMY B. KALLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4054 N LINCOLN AVE STE 2, CHICAGO, IL 60618-3144
(312) 625-3373
Mailing address
4018 N LAWLER AVE, CHICAGO, IL 60641-1733
(312) 625-3373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016837
IL
Other
Enumeration date
09/22/2010
Last updated
08/09/2024
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