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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