Individual
MR. LAWRENCE WOZNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,CADC
Contact information
Practice address
4419 W NORTH AVE, MELROSE PARK, IL 60160-1021
(773) 777-7112
Mailing address
5629 SAINT CHARLES RD, APT 107, BERKELEY, IL 60163-1146
(773) 777-7112
(630) 559-8467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18663
IL
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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