Organization
ANNELIESE MOY, LCSW, LLC
Active
Parent organization
ANNELIESE MOY, LCSW,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNELIESE MOY, LCSW,LLC
Authorized official
MS. ANNELIESE MOY (SOCIAL WORK)
(708) 831-1876
Entity
Organization
Contact information
Practice address
1431 N CLAREMONT AVE, 2ND FL PAVILLION, CHICAGO, IL 60622-1702
(773) 615-6538
Mailing address
1431 N CLAREMONT AVE, CHICAGO, IL 60622-1702
(708) 831-1876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012913
IL
Other
Enumeration date
04/14/2016
Last updated
12/01/2016
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