Individual
CHEYENNE LASEAN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2600 S MICHIGAN AVE STE 104, CHICAGO, IL 60616-2857
(224) 275-1712
Mailing address
2348 POST RD STE 107, WARWICK, RI 02886-2271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104100000X
IL
Other
Enumeration date
11/17/2022
Last updated
12/09/2022
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