Individual
CARA J TRIEZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 S WESTERN AVE STE 2B, CHICAGO, IL 60643-3225
(773) 474-9840
Mailing address
4948 147TH CT, MIDLOTHIAN, IL 60445-2404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019540
IL
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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