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Organization

AMANDA LITTELL

Active
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Organization

AMANDA LITTELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS AMANDA MARIE LITTELL LCSW (LICENSED CLINICAL SOCIAL WORKER)
(219) 741-1632
Entity
Organization

Contact information

Practice address
360 E SOUTH WATER ST APT 803, CHICAGO, IL 60601-4120
(219) 741-1632
Mailing address
360 E SOUTH WATER ST APT 803, CHICAGO, IL 60601-4120
(219) 741-1632

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149017068
IL

Other

Enumeration date
10/31/2014
Last updated
10/31/2014
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