Individual
CONSTANCE KINTZLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1745 W MELROSE ST, CHICAGO, IL 60657-1003
(773) 935-3666
Mailing address
1745 W MELROSE ST, CHICAGO, IL 60657-1003
(773) 935-3666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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