Individual
EDITH MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4000 W MONTROSE AVE # 528, CHICAGO, IL 60641-2140
(312) 835-7286
Mailing address
4000 W MONTROSE AVE # 528, CHICAGO, IL 60641-2140
(312) 835-7286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019579
IL
Other
Enumeration date
08/26/2019
Last updated
07/23/2025
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