Individual
MISS ASHLEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2865 N CLYBOURN AVE, CHICAGO, IL 60618-8269
(773) 270-0469
Mailing address
2865 N CLYBOURN AVE, CHICAGO, IL 60618-8269
(773) 270-0469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018003
IL
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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