Individual
CHANELL HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E 79TH ST, CHICAGO, IL 60619-4442
(800) 361-6880
Mailing address
1221 W BEN WHITE BLVD, STE 210A, AUSTIN, TX 78704-7182
(512) 960-4533
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
68639
TX
Other
Enumeration date
01/11/2019
Last updated
01/28/2020
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