Individual
DIANA KOTIS-HARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., LCSW
Contact information
Practice address
1019 S WESTERN AVE, UNIT 2, CHICAGO, IL 60612-4415
(312) 852-2241
Mailing address
1019 S WESTERN AVE, UNIT 2, CHICAGO, IL 60612-4415
(312) 852-2241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14913527
IL
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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