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Individual

MR. CHRISTOPHER BALMACEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1030 N CLARK ST, SUITE 303, CHICAGO, IL 60610-5467
(312) 291-1689
Mailing address
1030 N CLARK ST, SUITE 303, CHICAGO, IL 60610-5467

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016813
IL

Other

Enumeration date
06/07/2015
Last updated
01/05/2016
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