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Individual

ANURADHA SPAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCSW

Contact information

Practice address
1010 JORIE BLVD, 112, OAK BROOK, IL 60523-2215
(630) 240-1188
Mailing address
245 S EAST AVE, UNIT 1, OAK PARK, IL 60302-3211
(708) 613-5140

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013801
IL

Other

Enumeration date
11/18/2009
Last updated
06/26/2013
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