Individual
AMANDA LOREN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 W HARRISON ST, CHICAGO, IL 60644-5101
(773) 227-2880
Mailing address
5100 W HARRISON ST, CHICAGO, IL 60644-5101
(773) 227-2880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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