Individual
MARY KATHLEEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2334 W LAWRENCE AVE STE 201, CHICAGO, IL 60625-1046
(773) 756-1733
Mailing address
1627 N WINCHESTER AVE APT CH2, CHICAGO, IL 60622-1368
(317) 446-3119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.117115
IL
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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