Jennifer Wang, L.C.S.W
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1114014107
StatusActive
Last updated in NPPESMar 10, 2014
Details
- NPI
- 1114014107
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Wang
- Credential
- L.C.S.W
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Mar 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149010593 | IL | Yes |
Practice location
561 W Diversey PkwySuite 210
Chicago, IL 60614-6068
Phone 773-425-4064 · Fax 773-244-9622
Mailing address
561 W Diversey PkwySuite 210
Chicago, IL 60614-6068
Phone 773-425-4064 · Fax 773-244-9622
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