Sevana Lillie Malkasian, LCSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1669985776
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1669985776
- Entity type
- Individual (NPI-1)
- Name
- Sevana Lillie Malkasian
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2017
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.020611 | IL | Yes |
Practice location
430 W Erie St Ste 205Chicago, IL 60654-7692
Phone 312-792-3610
Mailing address
430 W Erie St Ste 205Chicago, IL 60654-7692
Phone 312-792-3610
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