Individual
EMILY KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3017 N 76TH CT, ELMWOOD PARK, IL 60707-1104
(317) 509-8341
Mailing address
3017 N 76TH CT, ELMWOOD PARK, IL 60707-1104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021850
IL
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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