Individual
COLLEEN VITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
680 N LAKE SHORE DR, 1220, CHICAGO, IL 60611-4546
(312) 695-5060
Mailing address
5018 N TROY ST, 2, CHICAGO, IL 60625-4294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015359
IL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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