Individual
DANIELLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3047 N LINCOLN AVE UNIT 400, CHICAGO, IL 60657-4274
(773) 413-9243
Mailing address
3047 N LINCOLN AVE UNIT 400, CHICAGO, IL 60657-4274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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