Individual
AMANDA LOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 W MAIN ST STE 102, WEST DUNDEE, IL 60118-2062
(847) 767-7773
Mailing address
119 W MAIN ST STE 102, WEST DUNDEE, IL 60118-2062
(847) 767-7773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
49.021010
IL
Other
Enumeration date
03/16/2016
Last updated
05/10/2019
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