Individual
MS. ANGELIQUE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(312) 858-9194
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(312) 858-9194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018648
IL
Other
Enumeration date
01/20/2017
Last updated
09/13/2024
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