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Individual

ALINE BETHEA TALMAGE DEFIGLIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW/MPH/CADC

Contact information

Practice address
1821 W BELMONT AVE, CHICAGO, IL 60657-2040
(773) 888-2713
Mailing address
3229 N CENTRAL PARK AVE APT 1, CHICAGO, IL 60618-5305
(770) 894-9693

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IL
1041C0700X
Clinical Social Worker
Primary
149.017796
IL

Other

Enumeration date
05/06/2013
Last updated
03/17/2018
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