| NPI | 1306427083 |
|---|---|
| Doing Business As | KATELYN DIRCKS |
| Entity Type | Organization |
| Authorized Contact | KATELYN E DIRCKS Clinical Social Worker 708-743-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |