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Individual

ELLE NICOLE KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
1531 N NORTH PARK AVE APT 2, CHICAGO, IL 60610-1262
(219) 801-5340

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021288
IL

Other

Enumeration date
04/09/2020
Last updated
04/09/2020
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