Individual
ERICA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3048 N MILWAUKEE AVE # 6624, CHICAGO, IL 60618-6624
(312) 458-9865
Mailing address
3048 N MILWAUKEE AVE # 6624, CHICAGO, IL 60618-6624
(131) 245-8986
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107472
IL
Other
Enumeration date
01/03/2023
Last updated
01/09/2023
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