Individual
CASSANDRA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Contact information
Practice address
250 S NORTHWEST HWY, PARK RIDGE, IL 60068-4237
(888) 428-7890
Mailing address
250 S NORTHWEST HWY, PARK RIDGE, IL 60068-4237
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.105343
IL
1041C0700X
Clinical Social Worker
Primary
149025657
IL
Other
Enumeration date
08/11/2022
Last updated
11/19/2024
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