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Individual

MS. JACQUELINE T WESTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PEL, LSW

Contact information

Practice address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(312) 259-2665
Mailing address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(312) 259-2665

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105080
IL

Other

Enumeration date
06/11/2021
Last updated
06/11/2021
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