Individual
DAVIDA ROSENBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19740 GOVERNORS HWY, SUITE 117, FLOSSMOOR, IL 60422-2084
(866) 296-5262
(708) 957-9588
Mailing address
20 N CLARK ST, SUITE 2650, CHICAGO, IL 60602-4109
(866) 296-5262
(312) 558-1570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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