Individual
FARAH ALEXANDRA KURDI-VILLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AM, LCSW
Contact information
Practice address
440 N WABASH AVE APT 4809, CHICAGO, IL 60611-7680
(773) 505-0783
Mailing address
440 N WABASH AVE APT 4809, CHICAGO, IL 60611-7680
(773) 505-0783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149026010
IL
1041C0700X
Clinical Social Worker
150106862
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/05/2021
Last updated
01/15/2024
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