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Organization

ERICKA AXNESS, LCSW AND ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERICKA JANE AXNESS LCSW (OWNER)
(630) 864-0671
Entity
Organization

Contact information

Practice address
129 FAIRFIELD WAY, 303A, BLOOMINGDALE, IL 60108-1560
(630) 864-0671
(630) 597-2541
Mailing address
129 FAIRFIELD WAY, 303A, BLOOMINGDALE, IL 60108-1560
(630) 864-0671
(630) 597-2541

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011074
IL

Other

Enumeration date
09/08/2015
Last updated
09/08/2015
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