Individual
DEBORAH N DYSLIN KMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
676 N SAINT CLAIR ST STE 1310, CHICAGO, IL 60611-2923
(312) 695-9627
(312) 695-6072
Mailing address
676 N SAINT CLAIR ST STE 1310, CHICAGO, IL 60611-2923
(312) 695-9627
(312) 695-6072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149022450
IL
1041C0700X
Clinical Social Worker
Primary
149022450
IL
Other
Enumeration date
08/25/2020
Last updated
02/15/2022
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