Individual
REATHER JOE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11542 S ADA ST, CHICAGO, IL 60643-5104
(708) 548-8202
Mailing address
11542 S ADA ST, CHICAGO, IL 60643-5104
(708) 548-8202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.111322
IL
1041S0200X
School Social Worker
2534562
IL
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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