Individual
COURTNEY L RIVENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
5045 W 47TH ST, CHICAGO, IL 60638-2038
(773) 735-6773
Mailing address
5045 W 47TH ST, CHICAGO, IL 60638-2038
(773) 735-6773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014003
IL
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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