Individual
MISS KATELYN GRACE SWICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(312) 243-8487
Mailing address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112878
IL
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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