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Individual

ERICKA AXNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
129 FAIRFIELD WAY, SUITE 303A, BLOOMINGDALE, IL 60108-1560
(708) 955-2936
Mailing address
129 FAIRFIELD WAY, SUITE 303A, BLOOMINGDALE, IL 60108-1560
(708) 955-2936

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011074
IL

Other

Enumeration date
05/29/2009
Last updated
07/14/2015
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