Individual
BETH BOLLENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1731 N MARCEY ST, SUITE 511, CHICAGO, IL 60614-5373
(773) 497-2604
Mailing address
1731 N MARCEY ST, SUITE 511, CHICAGO, IL 60614-5373
(773) 497-2604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-006193
IL
Other
Enumeration date
10/16/2006
Last updated
01/13/2017
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