Patricia Anthony Macclarence LCSW

NPI 1043549066 - Social Worker - 1041C0700X

NPI Details
NPI 1043549066
Gender Female
Enumeration Date 12/22/2009
Last Updated 12/22/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
7101 S EXCHANGE AVE
CHICAGO IL, 60649-2503, US
Phone (773) 702-4269
Fax (773) 702-4144
Business Location
5240 S GREENWOOD AVE
CHICAGO IL, 60615-4316, US
Phone (773) 288-2394
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.009347
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According to our database, Ms. Patricia Anthony Macclarence LCSW NPI is 1043549066, taxonomy code is 1041C0700X and license number is 149.009347, license state is located at Illinois. Patricia Anthony Macclarence LCSW physically located at 7101 S Exchange Ave, Chicago IL, 60649-2503. NPI Number Patricia Anthony Macclarence LCSW has the Individual type.

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1043549066 NPI number is provided on an as is basis without warranty of any kind. 1043549066 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Anthony Macclarence LCSW are for informational purposes only.