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Individual

AIDENN BURNSIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1701 E LAKE AVE STE 370, GLENVIEW, IL 60025-2090
(847) 421-8695
Mailing address
819 MICHIGAN AVE APT 1, EVANSTON, IL 60202-4401
(847) 421-8695

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113446
IL

Other

Enumeration date
04/22/2024
Last updated
04/22/2024
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