| NPI | 1093029407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE J HENDERSON Licensed Clinical Social Worker 773-645-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006783) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-08-19 |