Organization
COLVILLE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA DENISE COLVILLE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(773) 269-9400
Entity
Organization
Contact information
Practice address
1739 N WILMOT AVE, CHICAGO, IL 60647-5523
(773) 269-9400
Mailing address
1739 N WILMOT AVE, CHICAGO, IL 60647-5523
(773) 269-9400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013723
IL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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