Individual
KASANDRA NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1166 E 54TH PL UNIT G, CHICAGO, IL 60615-5110
(213) 858-6733
Mailing address
1166 E 54TH PL UNIT G, CHICAGO, IL 60615-5110
(213) 858-6733
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115485
IL
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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