Shantana Wesson
Social Worker in Chicago, IL. Individual provider (NPI-1).
NPI number1164069407
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1164069407
- Entity type
- Individual (NPI-1)
- Name
- Shantana Wesson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
235 E 103rd St # AChicago, IL 60628-2807
Phone 773-371-3650
Mailing address
235 E 103rd St # AChicago, IL 60628-2807
Phone 773-371-3650
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