Individual
KAYLA JENSENA HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, P-CADC
Contact information
Practice address
2845 N SHERIDAN RD, SUITE 809, CHICAGO, IL 60657-7227
(312) 761-4721
Mailing address
3249 W EVERGREEN AVE APT 2, CHICAGO, IL 60651-3185
(815) 218-5282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150112873
IL
Other
Enumeration date
11/27/2023
Last updated
11/06/2024
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