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Individual

MR. ADAM LUNDGREN OUANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(773) 659-9207
Mailing address
4615 N ASHLAND AVE APT 2E, CHICAGO, IL 60640-4644
(508) 527-0851

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
150.104673
IL
1041C0700X
Clinical Social Worker
Primary
149026083
IL

Other

Enumeration date
10/19/2020
Last updated
10/18/2024
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