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Organization

MARY FARRELLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY FRANCIS FARRELLY LSW (SOCIAL WORKER)
(773) 315-3430
Entity
Organization

Contact information

Practice address
6063 N OVERHILL AVE, CHICAGO, IL 60631-3814
(773) 315-3430
Mailing address
6063 N OVERHILL AVE, CHICAGO, IL 60631-3814
(773) 315-3430

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
150.010895
IL

Other

Enumeration date
03/02/2015
Last updated
03/02/2015
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