Individual
AMY DANDWATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-1261
(224) 610-2958
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-1261
(224) 610-2958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018108
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2012
Last updated
12/09/2016
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