Organization
AGEFULLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALIXANDRA FOISY LCSW (OWNER)
(773) 939-0556
Entity
Organization
Contact information
Practice address
1022 W 31ST PL APT 1F, CHICAGO, IL 60608-6580
(773) 939-0556
Mailing address
1022 W 31ST PL APT 1F, CHICAGO, IL 60608-6580
(773) 939-0556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014627
IL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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