DICKELLE FONDA

EVANSTON, IL
NPI1972661189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-001401)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Ms. DICKELLE FONDA LCSW
1220 DARROW AVE
EVANSTON, IL 60202-1114
Phone number: 847-491-9748
Mailing Address
Ms. DICKELLE FONDA LCSW
1220 DARROW AVE
EVANSTON, IL 60202-1114
Phone number: 847-491-9748
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