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Individual

ALISHA M DENIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
800 E. 55HTH STREET, CHICAGO, IL 60615-0496
(773) 702-0660
(773) 834-3756
Mailing address
PO BOX 19351, CHICAGO, IL 60619-0266
(773) 702-0660
(773) 834-3756

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149021996
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364161801001
IL
Enumeration date
06/19/2020
Last updated
06/19/2020
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