Organization
AMY M. JAKUBIAK, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE JAKUBIAK LLC, LCSW (CHIEF EXECUTIVE OFFICER)
(773) 507-3631
Entity
Organization
Contact information
Practice address
72 S LA GRANGE RD STE 12, LA GRANGE, IL 60525-6317
(773) 507-3631
Mailing address
72 S LA GRANGE RD STE 12, LA GRANGE, IL 60525-6317
(773) 507-3631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/20/2021
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