Individual
MACAULEY CLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3808 N ASHLAND AVE, CHICAGO, IL 60613-5382
(773) 542-3128
Mailing address
3808 N ASHLAND AVE, CHICAGO, IL 60613-5382
(773) 542-3128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103977
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150.103977
LSW LICENSE
IL
Enumeration date
09/25/2019
Last updated
09/25/2019
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