Organization
ANTOINETTE M DEZZUTTI LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE M DEZZUTTI LCSW (OWNER)
(773) 891-6729
Entity
Organization
Contact information
Practice address
954 W WASHINGTON BLVD, STE 402 BOX 14, CHICAGO, IL 60607-2224
(773) 891-6729
Mailing address
6237 N LAKEWOOD AVE, APT 3A, CHICAGO, IL 60660-1954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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