| NPI | 1023374261 |
|---|---|
| Former Legal Business Name | JULIE LCSW, LTD |
| Entity Type | Organization |
| Authorized Contact | JULIE BLACKMAN President/Owner 773-818-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.006816) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |