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Individual

DARRICK KENNEDY WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(773) 987-1315
Mailing address
1667 W LAKE ST, CHICAGO, IL 60612-2513
(773) 987-1315

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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