Individual
CHASTITY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5341 S ABERDEEN ST, CHICAGO, IL 60609-6060
(773) 571-2626
Mailing address
9730 S WESTERN AVE, EVERGREEN PARK, IL 60805-2814
(708) 571-2626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016419
IL
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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