Individual
MAGDALENA KMIECIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1011 W WELLINGTON AVE STE 210, CHICAGO, IL 60657-7187
(312) 728-2103
Mailing address
1011 W WELLINGTON AVE STE 210, CHICAGO, IL 60657-7187
(312) 728-2103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109258
IL
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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