Individual
ANGELA ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1165 N CLARK ST, SUITE 413, CHICAGO, IL 60610-2702
(773) 456-9080
Mailing address
2312 W NORTH AVE, #4E, CHICAGO, IL 60647-6264
(773) 456-9080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010512
IL
Other
Enumeration date
10/11/2006
Last updated
10/18/2009
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