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Individual

EMILY MCKERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5710 N BROADWAY AVE, CHICAGO, IL 60660
(773) 765-0515
(773) 765-0401
Mailing address
5710 N BROADWAY AVE, CHICAGO, IL 60660
(773) 765-0515
(773) 765-0401

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016695
IL

Other

Enumeration date
06/04/2014
Last updated
06/04/2014
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