Individual
ANDREW WHITNEY LARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2626 N LAKEVIEW AVE, APT. 811, CHICAGO, IL 60614-6173
(781) 626-2039
Mailing address
2626 N LAKEVIEW AVE, APT. 811, CHICAGO, IL 60614-6173
(781) 626-2039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014035
IL
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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