Individual
ANNELIESE MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3916 N NEVA AVE, CHICAGO, IL 60634-2228
(773) 615-6538
Mailing address
3916 N NEVA AVE, CHICAGO, IL 60634-2228
(773) 615-6538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012913
IL
Other
Enumeration date
11/09/2009
Last updated
06/03/2015
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