Individual
MS. AMY LEE KIENOW PAYCHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 LAWTON RD, RIVERSIDE, IL 60546-2359
(605) 380-0349
Mailing address
338 LAWTON RD, RIVERSIDE, IL 60546-2359
(605) 380-0349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015345
IL
Other
Enumeration date
10/02/2009
Last updated
03/26/2025
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