Individual
DASI D GINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3139 N LINCOLN AVE, #202, CHICAGO, IL 60657-3114
(773) 243-9421
Mailing address
1341 N GREENVIEW AVE, #3, CHICAGO, IL 60642-2329
(773) 885-3080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014011
IL
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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