Individual
KATLYNN DALLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3410 W ROOSEVELT RD, CHICAGO, IL 60624-4343
(773) 826-2929
(773) 826-2964
Mailing address
3410 W ROOSEVELT RD, CHICAGO, IL 60624-4343
(773) 804-8988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104323
IL
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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