Organization
MARGARET STANSBURY LICENSED CLINICAL SOCIAL WORKER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET LEE STANSBURY LCSW (OWNER)
(773) 917-5701
Entity
Organization
Contact information
Practice address
564 W RANDOLPH ST FL 2, CHICAGO, IL 60661-2219
(773) 917-5701
Mailing address
564 W RANDOLPH ST FL 2, CHICAGO, IL 60661-2219
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114553203
NPI ENUMERATOR
IL
Enumeration date
09/14/2020
Last updated
09/14/2020
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