| NPI | 1386182830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEBLANC Lcsw 773-844-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8521-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149010106) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-02-05 |