Individual
MRS. DARNETHA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 W INDIANA ST, GLENWOOD, IL 60425-1066
(773) 892-9011
Mailing address
1109 W INDIANA ST, GLENWOOD, IL 60425-1066
(773) 892-9011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105701
IL
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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