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Individual

MRS. ANN HOSTETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6528 FAIRFIELD AVE, BERWYN, IL 60402-3539
(708) 833-2104
Mailing address
6528 FAIRFIELD AVE, BERWYN, IL 60402-3539
(708) 833-2104

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013622
IL

Other

Enumeration date
06/12/2009
Last updated
03/31/2015
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