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Individual

ANDREA VERNON-CWIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 769-0205
Mailing address
1250 S INDIANA AVE, CHICAGO, IL 60605-2860

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019541
IL

Other

Enumeration date
12/21/2017
Last updated
12/21/2017
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