Individual
MS. ANNE ELIZABETH HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901 W HARRISON ST, RM 1698, CHICAGO, IL 60612-3714
(312) 864-6790
Mailing address
1901 W HARRISON ST, RM 1698, CHICAGO, IL 60612-3714
(312) 864-6790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-007564
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366006541073
—
IL
Enumeration date
03/09/2010
Last updated
04/26/2021
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