Individual
MRS. CHEYENNE LEIGH GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
465 PARK ST, ELGIN, IL 60120-4488
(815) 822-8668
Mailing address
465 PARK ST, ELGIN, IL 60120-4488
(815) 822-8668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
149025362
IL
Other
Enumeration date
10/19/2020
Last updated
06/29/2023
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