Individual
AMANDA SUZANNE BESINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150102130
IL
1041C0700X
Clinical Social Worker
Primary
149.021113
IL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/20/2014
Last updated
05/21/2019
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