Individual
AMANDA LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26229 W PRAIRIE CT, CHANNAHON, IL 60410-5123
(708) 257-7837
Mailing address
26229 W PRAIRIE CT, CHANNAHON, IL 60410-5123
(708) 257-7837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018279
IL
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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