Individual
DIANA JEAN-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, M.J.
Contact information
Practice address
2542 W NORTH AVE, CHICAGO, IL 60647-5216
(773) 365-7277
Mailing address
3141 W BIRCHWOOD AVE, CHICAGO, IL 60645-1105
(773) 827-8272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014279
IL
Other
Enumeration date
08/19/2010
Last updated
02/29/2012
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