Individual
CASSANDRA BREANNE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7751 S AVALON AVE, CHICAGO, IL 60619-3309
(872) 356-8627
Mailing address
7751 S AVALON AVE, CHICAGO, IL 60619-3309
(872) 356-8627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150103586
IL
1041C0700X
Clinical Social Worker
Primary
149.022210
IL
Other
Enumeration date
01/25/2019
Last updated
06/28/2022
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