Individual
MS. BHARATHI JAYARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7627 LAKE ST STE 213, RIVER FOREST, IL 60305-1878
(773) 209-0880
Mailing address
1139 S HARVEY AVE, OAK PARK, IL 60304-2133
(773) 209-0880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009060
IL
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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