| NPI | 1508012360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL LAFORCE Licensed Clinical Social Worker 773-880-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-003342) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |