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Individual

ASHLEY BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9610 S FOREST AVE, CHICAGO, IL 60628-1408
(773) 691-5424
Mailing address
9610 S FOREST AVE, CHICAGO, IL 60628-1408
(773) 691-5424

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022240
IL

Other

Enumeration date
05/29/2020
Last updated
05/29/2020
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