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 |