Anthony Modoni Heard LCSW

NPI 1477830859 - Social Worker - 1041C0700X

NPI Details
NPI 1477830859
Gender Male
Enumeration Date 11/13/2011
Last Updated 11/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2021 N KEDZIE AVE APT 3C
CHICAGO IL, 60647-3786, US
Phone (405) 627-0691
Fax
Business Location
2021 N KEDZIE AVE APT 3C
CHICAGO IL, 60647-3786, US
Phone (405) 627-0691
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149014744
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According to our database, Mr. Anthony Modoni Heard LCSW NPI is 1477830859, taxonomy code is 1041C0700X and license number is 149014744, license state is located at Illinois. Anthony Modoni Heard LCSW physically located at 2021 N Kedzie Ave Apt 3c, Chicago IL, 60647-3786. NPI Number Anthony Modoni Heard LCSW has the Individual type.

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1477830859 NPI number is provided on an as is basis without warranty of any kind. 1477830859 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Modoni Heard LCSW are for informational purposes only.