Individual
MRS. AMY ALLYSSA DEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7627 LAKE ST STE 217, RIVER FOREST, IL 60305-1878
(630) 740-4768
Mailing address
8111 ROUTE 53 APT 23, WOODRIDGE, IL 60517-3609
(630) 740-4768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019889
IL
Other
Enumeration date
03/31/2018
Last updated
03/31/2018
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