Individual
AVITAL FRIEDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3511 N WILTON AVE APT 1, CHICAGO, IL 60657-1941
(574) 329-4162
Mailing address
3511 N WILTON AVE APT 1, CHICAGO, IL 60657-1941
(574) 329-4162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022224
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F634-0029-1972
DRIVER'S LICENSE
IL
Enumeration date
10/11/2017
Last updated
10/25/2023
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