Individual
BONNIE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
10725 S WESTERN AVE, 2ND FLOOR, CHICAGO, IL 60643-3135
(773) 330-2544
Mailing address
1000 W DIVERSEY PKWY, SUITE 275, CHICAGO, IL 60614-1879
(773) 330-2544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017407
IL
Other
Enumeration date
03/31/2015
Last updated
09/14/2015
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