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Individual

MS. AMY MARIE DAIGLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1908 W MONTROSE AVE, CHICAGO, IL 60613-1012
(773) 784-1262
Mailing address
1140 LAKE ST, SUITE 302, OAK PARK, IL 60301-1049
(312) 593-6072
(708) 848-5170

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.010636
IL

Other

Enumeration date
06/18/2007
Last updated
07/12/2010
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