Individual
ALVINNETTA BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,
Contact information
Practice address
1335 S PRAIRIE AVE, UNIT 608, CHICAGO, IL 60605-3121
(708) 846-9195
Mailing address
1335 S PRAIRIE AVE, UNIT 608, CHICAGO, IL 60605-3121
(708) 846-9195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-003231
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-3231
LICENSED CLINICAL SOCIAL WORKER
IL
Enumeration date
11/28/2011
Last updated
11/28/2011
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