Individual
CHELSEA ANNE DILLAVOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-9166
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014067
IL
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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