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Organization

DANA PLOUS LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DANA PLOUS LCSW (OWNER)
(312) 545-9212
Entity
Organization

Contact information

Practice address
790 W FRONTAGE RD, NORTHFIELD, IL 60093-1204
(312) 545-9212
Mailing address
1636 N WELLS ST, #1707, CHICAGO, IL 60614-6037
(312) 545-9212

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013047
IL

Other

Enumeration date
02/19/2013
Last updated
02/19/2013
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