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Individual

DIANE MAE BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
721 LAPORTE AVE, WILMETTE, IL 60091-2021
(773) 750-6135
Mailing address
721 LAPORTE AVE, WILMETTE, IL 60091-2021
(773) 750-6135

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008662
IL

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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