Individual
CHASTITY SAUCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2245 W JACKSON BLVD RM 110, CHICAGO, IL 60612-2910
(773) 534-7582
Mailing address
2245 W JACKSON BLVD, CHICAGO, IL 60612-2910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020620
IL
Other
Enumeration date
10/19/2018
Last updated
01/10/2019
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