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Organization

CANDOR COUNSELING SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA NEWTON LCSW (OWNER)
(773) 599-3417
Entity
Organization

Contact information

Practice address
2858 W DIVERSEY AVE, CHICAGO, IL 60647-1871
(773) 599-3417
Mailing address
2858 W DIVERSEY AVE, CHICAGO, IL 60647-1871
(773) 599-3417

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015812
IL

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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