Organization
AMANDA WHETSTONE, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WHETSTONE LCSW (CLINICAL SOCIAL WORKER)
(419) 704-1334
Entity
Organization
Contact information
Practice address
1360 N LAKE SHORE DR, #1007, CHICAGO, IL 60610-2181
(419) 704-1334
Mailing address
1360 N LAKE SHORE DR, #1007, CHICAGO, IL 60610-2181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-014471
IL
Other
Enumeration date
01/27/2014
Last updated
03/17/2014
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