Individual
BAIBA DAVYDENKOVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
12243 S 69TH AVE, PALOS HEIGHTS, IL 60463-1623
(708) 738-6712
Mailing address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(847) 461-0330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
IL
Enumeration date
01/25/2021
Last updated
05/24/2024
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