Organization
AMY WILBOURNE LCSW, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WILBOURNE LCSW (PSYCHOTHERAPIST)
(312) 857-8670
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST STE 910, CHICAGO, IL 60602-1717
(312) 857-8670
Mailing address
701 LYMAN AVE, OAK PARK, IL 60304-1613
(312) 857-8670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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