Individual
AMY WAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3317 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2243
(708) 466-7924
(708) 529-3207
Mailing address
3317 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2243
(708) 466-7924
(708) 529-3207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009220
IL
101YP2500X
Professional Counselor
Primary
180.012121
IL
Other
Enumeration date
06/12/2015
Last updated
08/08/2019
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