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Individual

MI ROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
MSW

Contact information

Practice address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(312) 819-7381
Mailing address
1600 N MARSHFIELD AVE APT 201, CHICAGO, IL 60622-8048

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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