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Dr. Antonio D Champion, Ph.D., LCSW

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

NPI number1619706520
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1619706520
Entity type
Individual (NPI-1)
Name
Dr. Antonio D Champion
Credential
Ph.D., LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 29, 2024
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149.027393ILYes

Practice location

2109 S 8th Ave
Maywood, IL 60153-3230

Phone 708-356-6386

Mailing address

2109 S 8th Ave
Maywood, IL 60153-3230

Phone 708-356-6386

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