Individual
AMY MARIE JAKUBIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
72 S LA GRANGE RD STE 12, LA GRANGE, IL 60525-6317
(773) 507-3631
Mailing address
72 S LA GRANGE RD STE 12, LA GRANGE, IL 60525-6317
(773) 507-3631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015364
IL
Other
Enumeration date
05/01/2014
Last updated
08/20/2021
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