Individual
ANNA DEKLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2956 N PINE GROVE AVE UNIT 1, CHICAGO, IL 60657-9659
(480) 620-7115
Mailing address
2956 N PINE GROVE AVE UNIT 1, CHICAGO, IL 60657-9659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017553
IL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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