Individual
CHAKA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5536 S EVERETT AVE, CHICAGO, IL 60637-1902
(773) 643-6259
Mailing address
1167 E 61ST ST UNIT 1, CHICAGO, IL 60637-2740
(616) 322-2437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017694
IL
Other
Enumeration date
09/20/2017
Last updated
03/17/2018
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