Individual
AMANDA SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
132 N YORK ST STE 2H, ELMHURST, IL 60126-3079
(630) 915-4235
Mailing address
132 N YORK ST STE 2H, ELMHURST, IL 60126-3079
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112127
IL
Other
Enumeration date
10/30/2023
Last updated
08/15/2024
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