Individual
BETH A. KALLMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
655 W IRVING PARK RD, 201, CHICAGO, IL 60613-3123
(773) 983-2771
Mailing address
655 W IRVING PARK RD, SUITE 201, CHICAGO, IL 60613-3123
(773) 983-2771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008478
IL
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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