| NPI | 1497313423 |
|---|---|
| Former Legal Business Name | MYLCSW |
| Entity Type | Organization |
| Authorized Contact | MICHELE DAY Executive Director/Owner 773-251-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |