Individual
MS. DELORTH STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 E ERIE ST STE 520, CHICAGO, IL 60611-2792
(312) 761-4726
Mailing address
707 E 91ST ST, CHICAGO, IL 60619-7509
(708) 676-2817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106447
IL
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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