Individual
MS. CYNTHIA JEAN WADERLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE,LCSW
Contact information
Practice address
1755 E 55TH ST, #604, CHICAGO, IL 60615-5992
(773) 546-8704
Mailing address
1755 E 55TH ST, #604, CHICAGO, IL 60615-5992
(773) 546-8704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011168
IL
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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