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Michelle Behrens

Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).

NPI number1013574136
StatusActive
Last updated in NPPESDec 23, 2019

Details

NPI
1013574136
Entity type
Individual (NPI-1)
Name
Michelle Behrens
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2019
Certification date
Dec 23, 2019
Last updated
Dec 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149020490ILYes

Practice location

5425 W Lake St
Chicago, IL 60644-2342

Phone 773-378-3347 · Fax 773-378-4028

Mailing address

5425 W Lake St
Chicago, IL 60644-2342

Phone 773-378-3347 · Fax 773-378-4028

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