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Individual

MS. ANTONIA WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
778 W FRONTAGE RD STE 113, NORTHFIELD, IL 60093-1209
(269) 267-5716
Mailing address
111 W MAPLE ST APT 2508, CHICAGO, IL 60610-5457
(269) 267-5716

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023042
IL

Other

Enumeration date
06/11/2022
Last updated
06/11/2022
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