Individual
MR. ANTHONY MODONI HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2021 N KEDZIE AVE APT 3C, CHICAGO, IL 60647-3786
(405) 627-0691
Mailing address
2021 N KEDZIE AVE APT 3C, CHICAGO, IL 60647-3786
(405) 627-0691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014744
IL
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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