Organization
EMPOWERED WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WYNN COUGHLIN LCSW CADC (OWNER)
(224) 532-6814
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 603A, OAK PARK, IL 60301-1136
(224) 532-6814
Mailing address
421 S OAK PARK AVE APT J1, OAK PARK, IL 60302-3881
(224) 532-6814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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